Organization Active NPI

Compassionate Care Home

  • Assisted Living Facility
  • Garden Grove, CA
National Provider Identifier
1144925348
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COMPASSIONATE CARE HOME
Practice address
12141 Gilbert St
Garden Grove, CA 92841-3503
Phone
(714) 400-8679
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Gladys Anne Ambion, RPHNPI 1962025031
Title
Licensee
Phone
(714) 400-8679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12141 Gilbert St
Garden Grove, CA 92841-3503

Mailing address

16049 Cache St
Fountain Valley, CA 92708-1414
Phone (714) 400-8679

Other names 1

  • Compassionate Care Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Compassionate Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1144925348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16049 CACHE ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081414",
            "telephone_number": "714-400-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 GILBERT ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413503",
            "telephone_number": "714-400-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "AMBION",
        "authorized_official_first_name": "GLADYS ANNE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "714-400-8679",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.