Active NPI
Gracious Living Homes of Care
- Alzheimer Center (Dementia Center)
- Santa Barbara, CA
National Provider Identifier
1174750863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- License
- 425801498
- Legal business name
- GRACIOUS LIVING HOMES OF CARE
- Practice address
- 2796 Foothill Rd
Santa Barbara, CA 93105-2902 - Phone
- (805) 563-4502
- Fax
- (805) 617-3233
- NPI assigned
- Jun 19, 2009
- 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. Steven Wall
- Title
- Ceo/Administrator
- Phone
- (805) 680-4915
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | 425801498 | CA | Primary |
| Alzheimer Center (Dementia Center) | 311500000X | 425801505 | CA |
Addresses
Primary practice location
2796 Foothill Rd
Santa Barbara, CA 93105-2902
Mailing address
2796 Foothill Rd
Santa Barbara, CA 93105-2902
Phone (805) 563-4502
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245369600000",
"number": "1174750863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2796 FOOTHILL RD",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931052902",
"telephone_number": "805-563-4502",
"fax_number": "805-617-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2796 FOOTHILL RD",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931052902",
"telephone_number": "805-563-4502",
"fax_number": "805-617-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACIOUS LIVING HOMES OF CARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-19",
"last_updated": "2009-06-19",
"status": "A",
"authorized_official_last_name": "WALL",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "805-680-4915",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "CA",
"license": "425801498",
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "CA",
"license": "425801505",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.