Annissa Gem Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANNISSA GEM CARE

Practice address

825 Lilac Dr
Placentia, CA 92870-4728

Phone

(714) 646-6750

NPI assigned

Apr 7, 2021

Last updated

Apr 7, 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

Gideon Limpiado

Title

Managing Member

Phone

(562) 365-4155

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1629657440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 LILAC DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928704728",
            "telephone_number": "714-646-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 LILAC DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928704728",
            "telephone_number": "714-646-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNISSA GEM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "LIMPIADO",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "562-365-4155"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gidz300@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "gidz300@yahoo.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gidz300@yahoo.com",
            "address_1": "825 Lilac Dr",
            "city": "Placentia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928704728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Placentia, CA
• Providers in Placentia, 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 Apr 7, 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.