Active NPI
Morningstar Care Home
- Assisted Living Facility
- Modesto, CA
National Provider Identifier
1336998723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MORNINGSTAR CARE HOME
- Practice address
- 3408 Gatewood Dr
Modesto, CA 95355-1550 - Phone
- (251) 234-2740
- NPI assigned
- May 16, 2024
- 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
- Kalven Goreal
- Title
- Owner/Licensee/Administrator
- Phone
- (251) 234-2740
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | |||
| Assisted Living Facility | 310400000X | Primary | ||
| Alzheimer Center (Dementia Center) | 311500000X |
Addresses
Primary practice location
3408 Gatewood Dr
Modesto, CA 95355-1550
Mailing address
3408 Gatewood Dr
Modesto, CA 95355-1550
Phone (251) 234-2740
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715817600000",
"number": "1336998723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3408 GATEWOOD DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551550",
"telephone_number": "251-234-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 GATEWOOD DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551550",
"telephone_number": "251-234-2740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNINGSTAR CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-16",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A",
"authorized_official_last_name": "GOREAL",
"authorized_official_first_name": "KALVEN",
"authorized_official_title_or_position": "OWNER/LICENSEE/ADMINISTRATOR",
"authorized_official_telephone_number": "251-234-2740"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.