ADELINE'S GUEST HOME (NPI# 1629426325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629426325 |
Entity Type | Organization |
Organization Name | ADELINE'S GUEST HOME |
Practice Address |
741 N East St Anaheim CA 92805-2134 |
Practice Telephone | 7145040697 |
Mailing Telephone | 7145040697 |
Enumeration Date | 2016-06-03 |
Last Update Date | 2016-06-03 |
Authorized Official Name | ADELINE MONCERA (ADMINISTRATOR) |
Authorized Official Telephone | 7145040697 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 306003507 | CA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | COMMUNITY CARE LICENSING | 306003507 | 01 |
Street Address |
741 N EAST ST |
City | ANAHEIM |
State | CA |
Zip Code | 92805-2134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
Find all providers in zip 92805 |
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 |
---|---|---|---|---|
1649879420 | Pacifica Sl Anaheim Hills LLC | Assisted Living Facility | 525 S Anaheim Hills Rd, Anaheim, CA 92807-4721 | 2020-10-22 |
1174138556 | Rolling Hills Guest Home Inc | Assisted Living Facility | 1406 E Turin Ave, Anaheim, CA 92805-5721 | 2020-09-11 |
1225653645 | Blc Nohl Ranch, LLC | Assisted Living Facility | 380 S Anaheim Hills Rd, Anaheim, CA 92807-4026 | 2020-06-11 |
1548807084 | Francel Guest Home Inc | Assisted Living Facility | 9441 Houston Ave, Anaheim, CA 92801-1439 | 2019-12-03 |
1336785252 | Golden Life Manor | Assisted Living Facility | 507 S Citadell Ln, Anaheim, CA 92806-4204 | 2019-11-26 |
1164071916 | Alice Way Homecare Inc | Assisted Living Facility | 211 S Alice Way, Anaheim, CA 92806-4034 | 2019-09-04 |
1750945879 | La Palma Villa Inc | Assisted Living Facility | 1418 W La Palma Ave, Anaheim, CA 92801-2818 | 2019-04-24 |
1295220499 | Exclusivesenior Care, Inc. | Assisted Living Facility | 6482 E Via Arboles, Anaheim, CA 92807-4219 | 2018-06-29 |
1245733526 | Silver Lining Residenital Care | Assisted Living Facility | 1243 N Brookhurst St, Anaheim, CA 92801-1605 | 2018-03-13 |
1952813016 | Kincaid Senior Living Inc. | Assisted Living Facility | 641 S Beach Blvd, Anaheim, CA 92804-3102 | 2017-10-30 |
Find all providers in ANAHEIM |
Please comment or provide details below to improve the information on ADELINE'S GUEST HOME.
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.