Gracious Care Homes Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACIOUS CARE HOMES INC.

Practice address

17602 Amaganset Way
Tustin, CA 92780-2514

Phone

(714) 368-4659

NPI assigned

Aug 20, 2020

Organization subpart

No

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

Authorized official

Name

David B. Nehem

Title

Managing Member

Phone

(951) 316-2946

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gracious Care Home 3 Doing business as

Tax ID family

Gracious Care Home 23 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gracious Care Homes Inc.

  • Assisted Living Facility
  • Orange, CA
  • NPI 1164073052
  NPD tax ID
• Gracious Care Homes Inc.

  • Assisted Living Facility
  • Tustin, CA
  • NPI 1710599030
  NPD tax ID

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1104438142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 CARTHAGE ST",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703004",
            "telephone_number": "951-316-2946",
            "fax_number": "714-368-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17602 AMAGANSET WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802514",
            "telephone_number": "714-368-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS CARE HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "NEHEM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "951-316-2946"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLD",
            "identifier": "306004322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracious Care Home 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Gorski, DPT
• Nazema Gosla, PA
• Rutuja Gourkar, NP
• Nikita Govind, DPT
• Grace Kwon Corporation
• Gracious Care Homes Inc.
• Alexis Graff
• Sunny Graham
• Kelly Marie Granger, PSY.D.
• Robert James Grant, PT, DPT

• Assisted Living Facility in Tustin, CA
• Providers in Tustin, CA by specialty
• Assisted Living Facility in California

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