Granny's Homes, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRANNY'S HOMES, INC.

Doing business as

Angels Care Guest Home

Practice address

10212 Malinda LN
Garden Grove, CA 92840-2918

Phone

(714) 244-5885

Fax

(714) 583-8467

NPI assigned

Mar 10, 2023

Organization subpart

No

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

Authorized official

Name

Quintin Jeffrey Clavecillas

Title

Ceo

Phone

(714) 244-5885

Specialties & licenses 1

Addresses

Other names 1

• Angels Care Guest Home Doing business as

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1639870272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 MALINDA LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402918",
            "telephone_number": "714-244-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 MALINDA LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402918",
            "telephone_number": "714-244-5885",
            "fax_number": "714-583-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANNY'S HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "CLAVECILLAS",
        "authorized_official_first_name": "QUINTIN JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-244-5885"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Care Guest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gracious Care Home Health Services, Inc.
• Fernanda Grajeda Gomez
• Melissa Marie Gramlich
• Jocelynn Alissa Granados
• Melissa Granda
• Doreen Granpeesheh, PHD., BCBA
• Richard Glen Grant
• Apple Gray
• Trina Gray
• Elaine Grear

• Assisted Living Facility in Garden Grove, CA
• Providers in Garden Grove, 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 Mar 10, 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.