Grace Haven Congregate Living Facility LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRACE HAVEN CONGREGATE LIVING FACILITY LLC

Practice address

117 Temple Ave
Beaumont, CA 92223-3154

Phone

(817) 517-8748

NPI assigned

Jul 27, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ben Arnold Adom, DNP

Title

Ceo

Phone

(817) 517-8748

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1033031844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 TEMPLE AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233154",
            "telephone_number": "817-517-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 TEMPLE AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233154",
            "telephone_number": "817-517-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HAVEN CONGREGATE LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "ADOM",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-517-8748",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Peter Gichuhi
• Global DME
• Danika Laray Glover, BS
• Alyssa Gonzalez
• Keith Goshay
• Gina Myrna Guilarte-Hagen, FNP
• Elisha Gumbo
• Santosh Gurung
• Ivan Gutierrez Casillas
• Briana M Haberman, CMT

• Skilled Nursing Facility in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.