House of Grace 2

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOUSE OF GRACE 2

Practice address

2815 E Mesa Dr
West Covina, CA 91791-2223

Phone

(626) 716-1033

NPI assigned

Jan 18, 2021

Last updated

Feb 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Aquirre

Title

Owner

Phone

(626) 716-1033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1396334926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 E MESA DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912223",
            "telephone_number": "626-716-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 E MESA DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912223",
            "telephone_number": "626-716-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF GRACE 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "AQUIRRE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-716-1033"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in West Covina, CA
• Providers in West Covina, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.