Organization Active NPI

Citrus Gardens Leasing LLC

Doing business as Citrus Gardens Memory Care

  • Assisted Living Facility
  • Hemet, CA
National Provider Identifier
1033876081
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CITRUS GARDENS LEASING LLC
Doing business as
Citrus Gardens Memory Care
Practice address
25911 Stanford St
Hemet, CA 92544-4986
Phone
(951) 925-7107
Fax
(951) 260-3869
NPI assigned
Nov 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Tracy Li Langendoen
Title
Co-Owner, Co-Manager
Phone
(626) 796-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

25911 Stanford St
Hemet, CA 92544-4986

Mailing address

3452 E Foothill Blvd Ste 720
Pasadena, CA 91107-6031
Phone (626) 796-8700

Other names 1

  • Citrus Gardens Memory Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1033876081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 E FOOTHILL BLVD STE 720",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076031",
            "telephone_number": "626-796-8700",
            "fax_number": "626-568-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25911 STANFORD ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444986",
            "telephone_number": "951-925-7107",
            "fax_number": "951-260-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS GARDENS LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "LANGENDOEN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LI",
        "authorized_official_title_or_position": "CO-OWNER, CO-MANAGER",
        "authorized_official_telephone_number": "626-796-8700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Gardens Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.