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

The Providence Manor, LLC

Organization Assisted Living Facility · NPI 1598584500

The Providence Manor, LLC is an Assisted Living Facility in Palmdale, California. Registered with an NPI since 2024.

In the registry since
2024
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

3434 Tamarisk Dr
Palmdale, CA 93551-2561
Phone: (323) 680-0844
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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 number1598584500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ann Nalangan De Lima — Managing Member · (323) 680-0844
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address3434 Tamarisk Dr, Palmdale, CA 93551-2561

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