Georgetown Loving Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GEORGETOWN LOVING HOME LLC

Doing business as

Georgetown Loving Home

Practice address

11592 Vicilia St
Garden Grove, CA 92841-1911

Phone

(714) 867-6576

NPI assigned

Jan 24, 2025

Last updated

Jan 24, 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

Evelyn G Briones

Title

LLC Member

Phone

(714) 760-2560

Specialties & licenses 1

Addresses

Other names 1

• Georgetown Loving Home Doing business as

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1801608062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 STANTON AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212145",
            "telephone_number": "714-760-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11592 VICILIA ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411911",
            "telephone_number": "714-867-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN LOVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BRIONES",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "714-760-2560"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Loving Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Garden Grove, CA
• Providers in Garden Grove, 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 Jan 24, 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.