Organization Active NPI

Fortune Care Home LLC

  • Assisted Living Facility
  • Azusa, CA
National Provider Identifier
1740186824
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FORTUNE CARE HOME LLC
Practice address
735 E Hanks St
Azusa, CA 91702-3809
Phone
(626) 969-2411
Fax
(818) 736-9703
NPI assigned
Oct 16, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Geraldine B Rodriguez
Title
Managing Member
Phone
(323) 360-4627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

735 E Hanks St
Azusa, CA 91702-3809

Mailing address

735 E Hanks St
Azusa, CA 91702-3809
Phone (626) 969-2411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1740186824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 E HANKS ST",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023809",
            "telephone_number": "626-969-2411",
            "fax_number": "818-736-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 E HANKS ST",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023809",
            "telephone_number": "626-969-2411",
            "fax_number": "818-736-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "323-360-4627"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.