Provider Demographics
NPI:1427938042
Name:A PLACE LIKE HOME I LLC
Entity type:Organization
Organization Name:A PLACE LIKE HOME I LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-880-2854
Mailing Address - Street 1:10291 JULIANA LN
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-2912
Mailing Address - Country:US
Mailing Address - Phone:714-880-2854
Mailing Address - Fax:
Practice Address - Street 1:10291 JULIANA LN
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-2912
Practice Address - Country:US
Practice Address - Phone:714-880-2854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility