Organization Active NPI

G&M Group Home Corporation

Doing business as Serene Haven Assisted Living

  • Assisted Living Facility
  • Mission Viejo, CA
National Provider Identifier
1285464636
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
G&M GROUP HOME CORPORATION
Doing business as
Serene Haven Assisted Living
Practice address
26751 Via Grande
Mission Viejo, CA 92691-6132
Phone
(714) 902-1717
NPI assigned
Aug 1, 2024
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Mary Ann Salvador
Title
Ceo
Phone
(714) 747-4537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

26751 Via Grande
Mission Viejo, CA 92691-6132

Mailing address

12674 Hoover St
Garden Grove, CA 92841-4173
Phone (714) 902-1717

Other practice location 1

211 S Alice Way
Anaheim, CA 92806-4034
Phone (714) 902-1717

Other names 1

  • Serene Haven Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1285464636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12674 HOOVER ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414173",
            "telephone_number": "714-902-1717",
            "fax_number": "657-377-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26751 VIA GRANDE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916132",
            "telephone_number": "714-902-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 S Alice Way",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928064034",
            "country_code": "US",
            "telephone_number": "714-902-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "G&M GROUP HOME CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "SALVADOR",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-747-4537"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Haven Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serene Haven Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.