Ethel's Guest Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ETHEL'S GUEST HOME LLC

Practice address

1730 W 1St St
San Pedro, CA 90732-3107

Phone

(310) 634-7522

Fax

(310) 832-1960

NPI assigned

Nov 7, 2025

Last updated

Nov 7, 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

Ethel Jane Ocampo Monterroso

Title

Ceo/ Administrator

Phone

(310) 634-7522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1952271629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W 1ST ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323107",
            "telephone_number": "310-634-7522",
            "fax_number": "310-832-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W 1ST ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323107",
            "telephone_number": "310-634-7522",
            "fax_number": "310-832-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHEL'S GUEST HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "MONTERROSO",
        "authorized_official_first_name": "ETHEL JANE",
        "authorized_official_middle_name": "OCAMPO",
        "authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "310-634-7522"
    },
    "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 San Pedro, CA
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• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.