Organization Active NPI

Angelica'S Home, Inc.

  • Assisted Living Facility
  • Temecula, CA
National Provider Identifier
1508549262
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANGELICA'S HOME, INC.
Practice address
31944 Corte Positas
Temecula, CA 92592-6485
Phone
(951) 474-5343
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Mr. Kenneth Wayne Oosting, MSME
Title
Ceo
Phone
(321) 432-8883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

31944 Corte Positas
Temecula, CA 92592-6485

Mailing address

31916 Corte Positas
Temecula, CA 92592-6482
Phone (321) 432-8883

Other practice location 1

31916 Corte Positas
Temecula, CA 92592-6482
Phone (321) 432-8883

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1508549262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31916 CORTE POSITAS",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926482",
            "telephone_number": "321-432-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31944 CORTE POSITAS",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926485",
            "telephone_number": "951-474-5343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31916 Corte Positas",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925926482",
            "country_code": "US",
            "telephone_number": "321-432-8883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGELICA'S HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "OOSTING",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-432-8883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSME"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.