Organization Active NPI

The Hibiscus Home LLC

  • Assisted Living Facility
  • La Mirada, CA
National Provider Identifier
1699563510
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE HIBISCUS HOME LLC
Practice address
14555 Figueras Rd
La Mirada, CA 90638-4405
Phone
(661) 236-6787
NPI assigned
Apr 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Ukarjit Kaur
Title
Licensee
Phone
(661) 236-6787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

14555 Figueras Rd
La Mirada, CA 90638-4405

Mailing address

22455 Needles St
Chatsworth, CA 91311-2654
Phone (661) 236-6787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1699563510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22455 NEEDLES ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112654",
            "telephone_number": "661-236-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 FIGUERAS RD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384405",
            "telephone_number": "661-236-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HIBISCUS HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "UKARJIT",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "661-236-6787"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.