House of Grace 5

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOUSE OF GRACE 5

Practice address

202 E Camden St
Glendora, CA 91740-5131

Phone

(626) 716-1033

NPI assigned

Jun 26, 2025

Last updated

Jun 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Aquirre

Title

Licensee

Phone

(626) 716-1033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1730077793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E CAMDEN ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405131",
            "telephone_number": "626-716-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E CAMDEN ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405131",
            "telephone_number": "626-716-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF GRACE 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "AQUIRRE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "626-716-1033"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Glendora, CA
• Providers in Glendora, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.