Abjc Gracious Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ABJC GRACIOUS LIVING, INC.

Doing business as

Gracious Living

Practice address

2141 N Euclid Ave
Upland, CA 91784-1475

Phone

(626) 622-0671

NPI assigned

Apr 15, 2021

Last updated

Apr 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angel Kao

Title

President

Phone

(626) 622-0671

Specialties & licenses 1

Addresses

Other names 1

• Gracious Living Doing business as

Tax ID family

Abjc Gracious Living Inc3 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.

• Abjc Gracious Living, Inc.

  dba Gracious Living

  • Assisted Living Facility
  • Upland, CA
  • NPI 1265018725
  NPD tax ID
• Abjc Gracious Living, Inc.

  • Assisted Living Facility
  • Upland, CA
  • NPI 1720664576
  NPD tax ID

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1154902856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E KENWOOD ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917848227",
            "telephone_number": "626-622-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841475",
            "telephone_number": "626-622-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABJC GRACIOUS LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-622-0671"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracious Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Abjc Gracious Living, Inc. (Gracious Living)
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• Zeina Abouakl
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• Acacia Hospice and Palliative Care, Inc.

• Assisted Living Facility in Upland, CA
• Providers in Upland, 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 15, 2021; 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.