Organization Active NPI

Phamily Home Elderly Care

  • Assisted Living Facility
  • Orange, CA
National Provider Identifier
1679161392
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PHAMILY HOME ELDERLY CARE
Practice address
704 E Vista del Playa Ave
Orange, CA 92865-3438
Phone
(714) 602-6126
NPI assigned
Jan 7, 2021
Last updated
Mar 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Charles Pham
Title
Administrator/Owner
Phone
(657) 724-9930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

704 E Vista del Playa Ave
Orange, CA 92865-3438

Mailing address

704 E Vista del Playa Ave
Orange, CA 92865-3438
Phone (714) 602-6126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1679161392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E VISTA DEL PLAYA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653438",
            "telephone_number": "714-602-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E VISTA DEL PLAYA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653438",
            "telephone_number": "714-602-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAMILY HOME ELDERLY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "657-724-9930"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.