Organization Active NPI

Phamily Home Twilight Care LLC Dba Phamily Home Elderly Care 3

  • Assisted Living Facility
  • Anaheim, CA
National Provider Identifier
1215793930
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PHAMILY HOME TWILIGHT CARE LLC DBA PHAMILY HOME ELDERLY CARE 3
Practice address
700 S Janss St
Anaheim, CA 92805-4503
Phone
(657) 772-4993
NPI assigned
Feb 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Charles Pham
Title
Licensee
Phone
(657) 724-9930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

700 S Janss St
Anaheim, CA 92805-4503

Mailing address

700 S Janss St
Anaheim, CA 92805-4503
Phone (657) 772-4993

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1215793930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S JANSS ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054503",
            "telephone_number": "657-772-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S JANSS ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054503",
            "telephone_number": "657-772-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAMILY HOME TWILIGHT CARE LLC DBA PHAMILY HOME ELDERLY CARE 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "657-724-9930"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.