Active NPI
United Care Homes, Inc.
- Intellectual Disabilities Intermediate Care Facility
- La Mirada, CA
National Provider Identifier
1992993786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- UNITED CARE HOMES, INC.
- Practice address
- 15924 Glazebrook Dr
La Mirada, CA 90638-2646 - Phone
- (562) 943-8134
- NPI assigned
- Oct 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susana Cruz Tubianosa, R.N.
- Title
- President
- Phone
- (626) 810-5567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | CA | Primary |
Addresses
Primary practice location
15924 Glazebrook Dr
La Mirada, CA 90638-2646
Mailing address
1982 Camwood Ave
Rowland Heights, CA 91748-4044
Phone (626) 810-5567
Other names 1
- Pure Joy 1
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G428
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
- PURE JOY #1
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Mar 2, 1990
- Last certification
- Apr 17, 2025
- Beds
- 6
- Ownership / control type
- Private (non-profit)
- Facility address
- 15924 East Glazebrook Ave
La Mirada, CA 90638
National Provider Directory
National Provider Directory- Tax ID family
- Pure Joy 1
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Whittier, CA
- NPI 1952538936
-
- Intellectual Disabilities Intermediate Care Facility
- Rowland Heights, CA
- NPI 1528112687
-
- Intellectual Disabilities Intermediate Care Facility
- Costa Mesa, CA
- NPI 1760662480
-
- Intellectual Disabilities Intermediate Care Facility
- Hacienda Heights, CA
- NPI 1841344918
-
- Intellectual Disabilities Intermediate Care Facility
- La Puente, CA
- NPI 1326192402
-
- Intellectual Disabilities Intermediate Care Facility
- Rowland Heights, CA
- NPI 1114108487
-
- Mental Illness Intermediate Care Facility
- Costa Mesa, CA
- NPI 1740460468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191542400000",
"number": "1992993786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1982 CAMWOOD AVE",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917484044",
"telephone_number": "626-810-5567",
"fax_number": "626-810-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15924 GLAZEBROOK DR",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906382646",
"telephone_number": "562-943-8134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED CARE HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A",
"authorized_official_last_name": "TUBIANOSA",
"authorized_official_first_name": "SUSANA",
"authorized_official_middle_name": "CRUZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-810-5567",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pure Joy 1",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.