Abundant Grace Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ABUNDANT GRACE SENIOR LIVING

Practice address

43307 Putters LN
Hemet, CA 92544-5227

Phone

(562) 551-1218

NPI assigned

Aug 26, 2022

Last updated

Aug 26, 2022By 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

Kanisha Arzu

Title

Licensee

Phone

(562) 551-1218

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1841919248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43307 PUTTERS LN",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445227",
            "telephone_number": "562-551-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43307 PUTTERS LN",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445227",
            "telephone_number": "562-551-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT GRACE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "ARZU",
        "authorized_official_first_name": "KANISHA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "562-551-1218"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hemet, CA
• Providers in Hemet, 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 Aug 26, 2022; 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.