Kaelas Home for Elderly

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KAELAS HOME FOR ELDERLY

Doing business as

Kaelas Home For Elderly

Practice address

24176 McCoy Rd
Lake Forest, CA 92630-3834

Phone

(310) 308-0925

NPI assigned

Aug 22, 2024

Last updated

Aug 22, 2024By 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

Czarina Dumaliang

Title

Licensee/Administrator

Phone

(310) 308-0925

Specialties & licenses 1

Addresses

Other names 1

• Kaelas Home For Elderly Doing business as

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1568295822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 PREMIERE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121315",
            "telephone_number": "310-308-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24176 MCCOY RD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303834",
            "telephone_number": "310-308-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAELAS HOME FOR ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "DUMALIANG",
        "authorized_official_first_name": "CZARINA",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "310-308-0925"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaelas Home For Elderly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jones, Kellen Kirsch Professional Corp.
• Joann Jorgenson, PT
• Jowee Corporation (Sandy Creek Care Home II)
• Julie Ann Claveria, M.D., Inc., a Professional Medical Corporation
• K Prime Home LLC (Ak and David Senior Care)
• Kaelas Home for Elderly 2
• Alyssa Kallestad
• Gabriella Kamara, APCC
• Alson Keoni Kanahele, DC, CSCS
• Melissa Kappes

• Assisted Living Facility in Lake Forest, CA
• Providers in Lake Forest, 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 Aug 22, 2024; 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.