Active NPI
Gracious Care Homes Inc.
- Assisted Living Facility
- Orange, CA
National Provider Identifier
1164073052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GRACIOUS CARE HOMES INC.
- Practice address
- 4110 E Jordan Ave
Orange, CA 92869-5429 - Phone
- (714) 289-1946
- Fax
- (714) 289-1946
- NPI assigned
- Sep 23, 2019
- 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
- Mr. David Nehem
- Title
- Licensee
- Phone
- (951) 316-2946
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4110 E Jordan Ave
Orange, CA 92869-5429
Mailing address
4931 Carthage St
Placentia, CA 92870-3004
Phone (951) 316-2946
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306003840 | Other | CA | CCLD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | graciouscarehome@aol.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Gracious Care Home 2
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Tustin, CA
- NPI 1104438142
-
- Assisted Living Facility
- Tustin, CA
- NPI 1710599030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774915200000",
"number": "1164073052",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 E JORDAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928695429",
"telephone_number": "714-289-1946",
"fax_number": "714-289-1946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACIOUS CARE HOMES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-23",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A",
"authorized_official_last_name": "NEHEM",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "951-316-2946",
"authorized_official_name_prefix": "Mr."
},
"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": "306003840",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "graciouscarehome@aol.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4110 E Jordan Ave",
"city": "Orange",
"state": "CA",
"country_code": "US",
"postal_code": "928695429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.