Adeline's Guest Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

306003507 Issued in CA

Legal business name

ADELINE'S GUEST HOME

Practice address

741 N East St
Anaheim, CA 92805-2134

Phone

(714) 504-0697

NPI assigned

Jun 3, 2016

Last updated

Jun 3, 2016By 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

Adeline Moncera

Title

Administrator

Phone

(714) 504-0697

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1629426325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 N EAST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052134",
            "telephone_number": "714-504-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 N EAST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052134",
            "telephone_number": "714-504-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELINE'S GUEST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "MONCERA",
        "authorized_official_first_name": "ADELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-504-0697"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306003507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE LICENSING",
            "identifier": "306003507",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Adams, BCBA
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• Ferid Addish, PA-C
• Adelola Patricia Adegbesan
• Azita Adelynia, D.D.S
• Rebecca Adeniji
• Banji A Adereti, RPH
• Luis Adeva, D.C.
• Roy Santiago Adeva, LVN

• Assisted Living Facility in Anaheim, CA
• Providers in Anaheim, 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 Jun 3, 2016; 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.