Active NPI
Wecare Residential Care Facility Inc.
- Adult Care Home Facility
- Anaheim, CA
National Provider Identifier
1720643281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306005450 | Other | RESIDENTIAL CARE FACILITY FOR ELDERLY |
National Provider Directory
National Provider DirectoryNPI 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.