Organization
GRACIOUS CARE HOMES INC.
Active
Other names
Gracious Care Home 3
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B. NEHEM (MANAGING MEMBER)
(951) 316-2946
Entity
Organization
Contact information
Practice address
17602 AMAGANSET WAY, TUSTIN, CA 92780-2514
(714) 368-4659
Mailing address
4931 CARTHAGE ST, PLACENTIA, CA 92870-3004
(951) 316-2946
(714) 368-4627
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306004322
CCLD
CA
Enumeration date
08/20/2020
Last updated
04/27/2026
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