Active NPI
Gracious Care Inc
- Assisted Living Facility
- Eastvale, CA
National Provider Identifier
1073478251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GRACIOUS CARE INC
- Practice address
- 12515 Hudson River Dr
Eastvale, CA 91752-4327 - Phone
- (909) 994-6204
- Fax
- (951) 427-1047
- NPI assigned
- Dec 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandy Zhao
- Title
- Manager
- Phone
- (909) 994-6204
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| PACE Provider Organization | 251T00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Assisted Living Facility | 310400000X | Primary | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | |||
| Alzheimer Center (Dementia Center) | 311500000X | |||
| Custodial Care Facility | 311Z00000X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Private Vehicle | 347C00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
12515 Hudson River Dr
Eastvale, CA 91752-4327
Mailing address
12515 Hudson River Dr
Eastvale, CA 91752-4327
Phone (909) 994-6204
Other practice location 1
14598 Stonybrook Ct
Corona, CA 92880-3713
Phone (909) 994-6204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331880740 | Other | CA | CCLD |
National Provider Directory
National Provider Directory- Tax ID family
- Gracious Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Companion
- Eastvale, CA
- NPI 1134084403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1073478251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12515 HUDSON RIVER DR",
"city": "EASTVALE",
"state": "CA",
"postal_code": "917524327",
"telephone_number": "909-994-6204",
"fax_number": "951-427-1047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12515 HUDSON RIVER DR",
"city": "EASTVALE",
"state": "CA",
"postal_code": "917524327",
"telephone_number": "909-994-6204",
"fax_number": "951-427-1047"
}
],
"practiceLocations": [
{
"address_1": "14598 Stonybrook Ct",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928803713",
"country_code": "US",
"telephone_number": "909-994-6204",
"fax_number": "909-427-1047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GRACIOUS CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-19",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "ZHAO",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "909-994-6204"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": false
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCLD",
"identifier": "331880740",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eastvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.