Organization Active NPI

Morning Glory Facility Plus, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Downey, CA
National Provider Identifier
1962106112
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MORNING GLORY FACILITY PLUS, INC
Practice address
13243 Corrigan Ave
Downey, CA 90242-4846
Phone
(562) 306-5696
Fax
(562) 306-5687
NPI assigned
Mar 29, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Ms. Pia Arceo, ESQ
Title
Licensee/Owner
Phone
(310) 345-5036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

13243 Corrigan Ave
Downey, CA 90242-4846

Mailing address

15411 S Western Ave
Gardena, CA 90249-4301
Phone (310) 345-5036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962106112. Details of each certification follow.

  • CCN 55G810 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G810

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MORNING GLORY FACILITY PLUS, INC.
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 2, 2024
Last certification
Aug 7, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
13243 Corrigan Ave
Downey, CA 90242

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2295572Morning Glory Facility Plus Inc13243 Corrigan Ave, Downey, CA 90242Certificate of waiverDec 12, 2027
05D2329902Morning Glory Facility Plus, Inc13243 Corrigan Avenue, Downey, CA 90242Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1962106112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15411 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494301",
            "telephone_number": "310-345-5036",
            "fax_number": "310-327-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13243 CORRIGAN AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902424846",
            "telephone_number": "562-306-5696",
            "fax_number": "562-306-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING GLORY FACILITY PLUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "ARCEO",
        "authorized_official_first_name": "PIA",
        "authorized_official_title_or_position": "LICENSEE/OWNER",
        "authorized_official_telephone_number": "310-345-5036",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.