Organization Active NPI

Kaelas Home for Elderly 2

  • Assisted Living Facility
  • Lake Forest, CA
National Provider Identifier
1316747330
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KAELAS HOME FOR ELDERLY 2
Practice address
24182 McCoy Rd
Lake Forest, CA 92630-3834
Phone
(949) 583-1996
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Czarina Dumaliang
Title
Sole LLC Member
Phone
(310) 308-0925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

24182 McCoy Rd
Lake Forest, CA 92630-3834

Mailing address

5908 Premiere Ave
Lakewood, CA 90712-1315
Phone (310) 308-0925

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1316747330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 PREMIERE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121315",
            "telephone_number": "310-308-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24182 MCCOY RD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303834",
            "telephone_number": "949-583-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAELAS HOME FOR ELDERLY 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "DUMALIANG",
        "authorized_official_first_name": "CZARINA",
        "authorized_official_title_or_position": "SOLE LLC MEMBER",
        "authorized_official_telephone_number": "310-308-0925"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.