Organization Active NPI

King Premium Care

  • In Home Supportive Care Agency
  • Laguna Hills, CA
National Provider Identifier
1366282964
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KING PREMIUM CARE
Doing business as
First Light Home Care-Mission Viejo
Practice address
23046 Avenida de la Carlota Ste 600
Laguna Hills, CA 92653-1537
Phone
(949) 522-4499
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Mr. Ching Wong
Title
Cfo
Phone
(949) 522-4499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

23046 Avenida de la Carlota Ste 600
Laguna Hills, CA 92653-1537

Mailing address

23046 Avenida de la Carlota Ste 600
Laguna Hills, CA 92653-1537
Phone (949) 302-7704

Other names 1

  • First Light Home Care-Mission Viejo 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": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1366282964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23046 AVENIDA DE LA CARLOTA STE 600",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531537",
            "telephone_number": "949-302-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23046 AVENIDA DE LA CARLOTA STE 600",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531537",
            "telephone_number": "949-522-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PREMIUM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "CHING",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-522-4499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Light Home Care-Mission Viejo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.