GRACIOUS CARE HOMES INC. (NPI# 1164073052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164073052 |
| Entity Type | Organization |
| Organization Name | GRACIOUS CARE HOMES INC. |
| Practice Address |
4110 E Jordan Ave Orange CA 92869-5429 |
| Mailing Address |
8705 Rogue River Ave Fountain Valley CA 92708-5518 |
| Practice Telephone | 7142891946 |
| Practice Fax Number | 7142891946 |
| Mailing Telephone | 9513162946 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | MR. DAVID NEHEM (LICENSEE) |
| Authorized Official Telephone | 9513162946 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CCLD | 306003840 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438142 | Gracious Care Homes Inc. | Assisted Living Facility | 17602 Amaganset Way, Tustin, CA 92780-2514 | 2020-08-20 |
| 1710599030 | Gracious Care Homes Inc. | Assisted Living Facility | 14661 Brookline Way, Tustin, CA 92780-2517 | 2020-08-18 |
| Street Address |
4110 E JORDAN AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92869-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790346401 | Artistic Smiles Dentistry | Clinic/Center | 2606 E. Chapman Ave., Orange, CA 92869 | 2019-06-24 |
| 1093233215 | Christine Wright | Physical Therapist | 406 S. Schug St, Orange, CA 92869 | 2017-09-07 |
| 1972025534 | Theresa M. Nakagawa | Marriage & Family Therapist | 7926 E. Deerfield Ln, Orange, CA 92869 | 2017-07-14 |
| 1679955801 | Lisa Moore | Nurse Anesthetist, Certified Registered | 1481 Meads, Orange, CA 92869 | 2015-06-24 |
| 1679960165 | Matthew Rivera | Specialist/Technologist | 360 N Rancho Santiago Blvd, Orange, CA 92869 | 2015-04-22 |
| 1780014183 | Sanaz Shahbandi | Dentist | 6449 East Saint Germain Cir., Orange, CA 92869 | 2013-11-21 |
| 1285973727 | Howard Leonard Rothfeder | Ophthalmology | 1567 Willow Wood Circle, Orange, CA 92869 | 2013-02-04 |
| 1730462409 | Luke Meier | Psychologist | 148 N Mine Canyon Rd Unit E, Orange, CA 92869 | 2011-09-20 |
| 1275825150 | S. La Verne Eng | Obstetrics & Gynecology | 351 Merelet Ln, Orange, CA 92869 | 2011-05-10 |
| 1497047757 | Eui San Cha | Internal Medicine | 2501 E Chapman Ave Ste 300, Orange, CA 92869 | 2011-05-05 |
| Find all providers in zip 92869 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049207 | Touch of Care Assisted Living | Assisted Living Facility | 885 S Esplanade St, Orange, CA 92869-5311 | 2020-10-05 |
| 1689284580 | Orange Senior Living, Inc. | Assisted Living Facility | 1800 W Culver Ave, Orange, CA 92868-4127 | 2020-08-05 |
| 1932721255 | Bichvan Thuy Dinh | Assisted Living Facility | 139 S Lincoln St, Orange, CA 92866-2235 | 2020-05-08 |
| 1114558772 | Care Jeselle | Assisted Living Facility | 2438 E Parkside Ave, Orange, CA 92867-4042 | 2020-01-31 |
| 1326577941 | Above All Care Facility, LLC | Assisted Living Facility | 479 S Wellington Rd, Orange, CA 92869-4731 | 2017-06-07 |
| 1659707685 | Maplewood At Orange | Assisted Living Facility | 245 Indian River Rd, Orange, CT 06477-3634 | 2013-09-23 |
| 1609105394 | Summerville At Cobbco, Inc. | Assisted Living Facility | 142 S Prospect St, Orange, CA 92869-3842 | 2009-12-09 |
| 1952427403 | Assisted Living Concepts Inc | Assisted Living Facility | 5301 Meeks Drive, Orange, TX 77630 | 2007-03-22 |
| 1801367479 | Care Juliet LLC | Assisted Living Facility | 479 S Wellington Rd, Orange, CA 92869-4731 | 2018-12-07 |
| 1205176518 | Julies Retirement Resort Inc 4 | Assisted Living Facility | 7000 Hiawassee Oak Dr, Orange, FL 32818 | 2013-02-22 |
| Find all providers in ORANGE | ||||
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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.