Organization Active NPI

Wecare Residential Care Facility Inc.

  • Adult Care Home Facility
  • Anaheim, CA
National Provider Identifier
1720643281
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
WECARE RESIDENTIAL CARE FACILITY INC.
Practice address
1904 W Random Dr
Anaheim, CA 92804-3537
Phone
(714) 284-0062
NPI assigned
May 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Mr. Angel Clarence Mondejar Tesoro V
Title
Administrator for Rcfe
Phone
(714) 284-0062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1904 W Random Dr
Anaheim, CA 92804-3537

Mailing address

1904 W Random Dr
Anaheim, CA 92804-3537
Phone (714) 284-0062

Other identifiers 1

IdentifierTypeStateIssuer
306005450OtherRESIDENTIAL CARE FACILITY FOR ELDERLY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1720643281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 W RANDOM DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043537",
            "telephone_number": "714-284-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 W RANDOM DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043537",
            "telephone_number": "714-284-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WECARE RESIDENTIAL CARE FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "TESORO",
        "authorized_official_first_name": "ANGEL CLARENCE",
        "authorized_official_middle_name": "MONDEJAR",
        "authorized_official_title_or_position": "ADMINISTRATOR FOR RCFE",
        "authorized_official_telephone_number": "714-284-0062",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "V"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE FACILITY FOR ELDERLY",
            "identifier": "306005450",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.