OrganizationActive
Portsmouth Senior Home LLC
NPI 1629948641 · Assisted Living Facility · Menifee, CA
Portsmouth Senior Home LLC is a Assisted Living Facility organization in Menifee, CA (NPI 1629948641).
Provider details
- NPI number
- 1629948641
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jamie Fides Lao, Licensee(951) 309-1158
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
28611 Portsmouth Dr
Menifee, CA 92586-2658
Phone: (951) 309-1158
Street-level locationGet directions
Mailing address
1060 E Luray St
Long Beach, CA 90807-1020
Registry dates
- Enumerated
- 2025-11-05
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Frequently asked questions
- What is Portsmouth Senior Home LLC's NPI number?
- Portsmouth Senior Home LLC's National Provider Identifier (NPI) is 1629948641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portsmouth Senior Home LLC?
- Portsmouth Senior Home LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Portsmouth Senior Home LLC located?
- Portsmouth Senior Home LLC's practice location on file with NPPES is 28611 Portsmouth Dr, Menifee, CA 92586-2658.
- What is Portsmouth Senior Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Portsmouth Senior Home LLC is (951) 309-1158.
- Who is the authorized official for Portsmouth Senior Home LLC?
- The authorized official listed on Portsmouth Senior Home LLC's NPPES record is Jamie Fides Lao, Licensee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portsmouth Senior Home LLC's NPI active?
- Yes — Portsmouth Senior Home LLC's NPI (1629948641) is active in the NPPES registry as of the last update on 2025-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.