SILVER SOUL CHRONICLES, INC. (NPI# 1134666456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134666456 |
| Entity Type | Organization |
| Organization Name | SILVER SOUL CHRONICLES, INC. |
| Other Organization Name | ANGELS CARE GUEST HOME |
| Practice Address |
10212 Malinda Ln Garden Grove CA 92840-2918 |
| Mailing Address |
805 S Western Ave Anaheim CA 92804-3832 |
| Practice Telephone | 7149753025 |
| Practice Fax Number | 7147842515 |
| Mailing Telephone | 7149753025 |
| Mailing Fax Number | 7147842515 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | MRS. JANICE RACHELLE JABONERO (ADMINISTRATOR) |
| Authorized Official Telephone | 7149753025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 306004737 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Angels Care Guest Home | Doing Business As Name - Organization |
| Street Address |
10212 MALINDA LN |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740826163 | Special Request LLC | Custodial Care Facility | 18821 Carlton Ave, Castro Valley, CA 94546-2907 | 2019-11-20 |
| 1336799170 | Sierra Care At The Lake,llc | Custodial Care Facility | 648 W Sierra Ave, Clovis, CA 93612-0151 | 2019-09-13 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1558825133 | Calrecup Care, Inc | Custodial Care Facility | 10510 S Vermont Ave, Los Angeles, CA 90044-3022 | 2019-01-28 |
| 1083185474 | Ray Joanne Leyva | Custodial Care Facility | 15617 Red Oak Way, Victorville, CA 92394-3228 | 2018-12-10 |
| 1760965081 | W.p.r. LLC | Custodial Care Facility | 2733 Country Club Blvd Apt 87, Stockton, CA 95204-3975 | 2018-09-12 |
| 1730674342 | Harbor Recuperative Care LLC | Custodial Care Facility | 11134 Sepulveda Blvd, Mission Hills, CA 91345-1114 | 2018-06-26 |
| 1548778152 | Sk Marathon Home Care | Custodial Care Facility | 7246 Fallbrook Ave, West Hills, CA 91307 | 2018-01-17 |
| 1386176808 | Mickey Iliescu | Custodial Care Facility | 7125 Main Ave, Orangevale, CA 95662-2813 | 2017-04-03 |
| 1013454289 | A Caring Heart Residence, Inc. | Custodial Care Facility | 371 E Millan St, Chula Vista, CA 91910-6313 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.