Candescent Home Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CANDESCENT HOME CARE

Practice address

12642 Susan LN
Garden Grove, CA 92841-4951

Phone

(714) 815-9266

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Kaytee-Anne Lumauig

Title

Administrator

Phone

(714) 815-9266

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1568165249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12642 SUSAN LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414951",
            "telephone_number": "714-815-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12642 SUSAN LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414951",
            "telephone_number": "714-815-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDESCENT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "LUMAUIG",
        "authorized_official_first_name": "KAYTEE-ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-815-9266"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Campos
• Jenny Paola Campuzano
• Bobby Canas
• Natividad E Cancino
• Olivia Candelas
• Austin Cannon
• Ricardo Cano
• Amber Ann Canto, BCBA
• David Cao
• Robert Vu Cao

• Skilled Nursing Facility in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.