Organization Active NPI

Care Jordan Senior Homes, LLC

  • Assisted Living Facility
  • Yorba Linda, CA
National Provider Identifier
1366021156
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CARE JORDAN SENIOR HOMES, LLC
Practice address
17111 Saga Dr
Yorba Linda, CA 92886-3629
Phone
(714) 646-6750
NPI assigned
Apr 7, 2021
Organization subpart
Yes
Parent organization
CARE JORDAN SENIOR HOMES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Gideon Limpiado
Title
Managing Member
Phone
(562) 365-4155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

17111 Saga Dr
Yorba Linda, CA 92886-3629

Mailing address

17111 Saga Dr
Yorba Linda, CA 92886-3629
Phone (714) 982-3348

Other identifiers 1

IdentifierTypeStateIssuer
306005777OtherCACCDSS

Other names 1

  • Care Jordan 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care Jordan Senior Homes LLC2 organizations share this tax ID, including this one
Part of
Care Jordan Senior Homes LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1366021156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17111 SAGA DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863629",
            "telephone_number": "714-982-3348",
            "fax_number": "714-982-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17111 SAGA DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863629",
            "telephone_number": "714-646-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE JORDAN SENIOR HOMES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE JORDAN SENIOR HOMES, LLC",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "LIMPIADO",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "562-365-4155"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCDSS",
            "identifier": "306005777",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Jordan 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Jordan 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

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