Active NPI
Everest Tustin Blessing Star LLC
- Assisted Living Facility
- Tustin, CA
National Provider Identifier
1083547889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Everest Senior Living Management Inc
- Everest at The Groves of Tustin
- The Groves of Tustin
National Provider Directory
National Provider DirectoryLocations
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.