Organization Active NPI

Everest Tustin Blessing Star LLC

  • Assisted Living Facility
  • Tustin, CA
National Provider Identifier
1083547889
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EVEREST TUSTIN BLESSING STAR LLC
Practice address
1262 Bryan Ave
Tustin, CA 92780-4464
Phone
(714) 627-5947
Fax
(714) 573-4689
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Charlene Lee
Title
Coo
Phone
(626) 228-8782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1262 Bryan Ave
Tustin, CA 92780-4464

Mailing address

801 S Garfield Ave Ste 308
Alhambra, CA 91801-4486
Phone (626) 228-8782

Other names 4

  • EVEREST TUSTIN BLESSING STAR LLC Doing business as
  • Everest Senior Living Management Inc Doing business as
  • Everest at The Groves of Tustin Doing business as
  • The Groves of Tustin Doing business as

National Provider Directory

National Provider Directory

Locations

801 S Garfield Ave
Ste 308
Alhambra, CA 91801

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1083547889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S GARFIELD AVE STE 308",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014486",
            "telephone_number": "626-228-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BRYAN AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804464",
            "telephone_number": "714-627-5947",
            "fax_number": "714-573-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST TUSTIN BLESSING STAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "626-228-8782"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVEREST TUSTIN BLESSING STAR LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Everest Senior Living Management Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Everest at The Groves of Tustin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Groves of Tustin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.