Gentle Manor Elderly Care, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

306002859 Issued in CA

Legal business name

GENTLE MANOR ELDERLY CARE, INC.

Practice address

4193 Teresa Ave
Cypress, CA 90630-4238

Phone

(714) 826-6144

NPI assigned

Jun 15, 2017

Last updated

Jun 16, 2018By 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

Carole Cajucom

Title

Licensee

Phone

(562) 335-2431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1871023374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12733 ALCHESTER ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037271",
            "telephone_number": "562-335-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4193 TERESA AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304238",
            "telephone_number": "714-826-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE MANOR ELDERLY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CAJUCOM",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "562-335-2431"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306002859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Cypress, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.