Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shasta Residential Care LLC

Organization Assisted Living Facility · NPI 1932801735

Shasta Residential Care LLC is an Assisted Living Facility in Fountain Valley, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16274 Shasta St
Fountain Valley, CA 92708-1865
Phone: (714) 300-4540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1932801735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Dino Dinh — Ceo · (714) 300-4540
NPI enumeratedMarch 17, 2023
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023
Mailing address16274 Shasta St, Fountain Valley, CA 92708-1865

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