GRACIOUS CARE HOMES INC.
NPI 1104438142
Assisted Living Facility in Tustin, CA

Q: What is Gracious Care Homes Inc.'s NPI number?

The NPI number for Gracious Care Homes Inc. is 1104438142. It was assigned to this organization in the NPPES registry on August 20, 2020. The provider is doing business as Gracious Care Home 3.

Q: What is Gracious Care Homes Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 20, 2020

17602 AMAGANSET WAY, TUSTIN, CA 92780(714) 368-4659 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Mar 31, 2026, Aug 20, 2020 (3 updates tracked since 2020).

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About Gracious Care Homes Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACIOUS CARE HOMES INC. (NPI 1104438142), doing business as Gracious Care Home 3, is a healthcare organization registered as an assisted living facility in Tustin, California and active in the NPI registry since August 2020. The organization lists David B. Nehem, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1104438142

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGRACIOUS CARE HOMES INC.

Location Address17602 AMAGANSET WAYTustin, CA 92780-2514

Mailing Address4931 Carthage StPlacentia, CA 92870-3004 · (951) 316-2946 · Fax (714) 368-4627

Phone(714) 368-4659

Organization SubpartNo

Authorized OfficialDavid B. NehemManaging Member · (951) 316-2946

Enumeration DateAugust 20, 2020

Last NPPES UpdateApril 27, 20263 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1104438142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

17602 AMAGANSET WAY, Tustin, CA 92780

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Other Names 1

Doing Business AsGracious Care Home 3

Other Identifiers 1

Other306004322CA · Ccld

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARE CHARLIZE

Assisted Living Facility

17602 AMAGANSET WAY
TUSTIN, CA 92780

Orange County (714) 368-4659

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gracious Care Homes Inc.'s NPI number?

The NPI number for Gracious Care Homes Inc. is 1104438142. It was assigned to this organization in the NPPES registry on August 20, 2020. The provider is doing business as Gracious Care Home 3.

Where is Gracious Care Homes Inc. located?

Gracious Care Homes Inc. is located at 17602 Amaganset Way, Tustin, CA 92780. The listed phone number is (714) 368-4659.

What is Gracious Care Homes Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Gracious Care Homes Inc. was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.