Organization Active NPI

Gracious Care Homes Inc.

Doing business as Gracious Care Home 2

  • Assisted Living Facility
  • Tustin, CA
National Provider Identifier
1710599030
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRACIOUS CARE HOMES INC.
Doing business as
Gracious Care Home 2
Practice address
14661 Brookline Way
Tustin, CA 92780-2517
Phone
(714) 368-4627
NPI assigned
Aug 18, 2020
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
David B Nehem
Title
Managing Member
Phone
(951) 316-2946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

14661 Brookline Way
Tustin, CA 92780-2517

Mailing address

4931 Carthage St
Placentia, CA 92870-3004
Phone (951) 316-2946

Other identifiers 1

IdentifierTypeStateIssuer
306004321OtherCACCLD

Other names 1

  • Gracious Care Home 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gracious Care Home 23 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1710599030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 CARTHAGE ST",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703004",
            "telephone_number": "951-316-2946",
            "fax_number": "714-368-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14661 BROOKLINE WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802517",
            "telephone_number": "714-368-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS CARE HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "NEHEM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "951-316-2946"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLD",
            "identifier": "306004321",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracious Care Home 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.