LEISURE CARE HOME CARE AGENCY, INC
NPI 1174861108
Custodial Care Facility - Adult Care Home in Laguna Niguel, CA

Q: What is Leisure Care Home Care Agency, Inc's NPI number?

The NPI number for Leisure Care Home Care Agency, Inc is 1174861108. It was assigned to this organization in the NPPES registry on January 25, 2013.

Q: What is Leisure Care Home Care Agency, Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since January 25, 2013

30131 TOWN CENTER DR, SUITE 205, LAGUNA NIGUEL, CA 92677(949) 363-7401(949) 363-7419 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Leisure Care Home Care Agency, Inc NPPES

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

LEISURE CARE HOME CARE AGENCY, INC (NPI 1174861108) is a healthcare organization registered as an adult care home in Laguna Niguel, California and active in the NPI registry since January 2013. The organization lists Trevor L Blackann, President, as its authorized official.

NPPES Registry Identity

NPI1174861108

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameLEISURE CARE HOME CARE AGENCY, INC

Location Address30131 TOWN CENTER DR, SUITE 205Laguna Niguel, CA 92677-2034

Mailing Address30131 Town Center Dr, Suite 205Laguna Niguel, CA 92677-2034 · (949) 363-7401 · Fax (949) 363-7419

Phone(949) 363-7401

Fax(949) 363-7419

Organization SubpartNo

Authorized OfficialTrevor L BlackannPresident · (949) 363-7401

Enumeration DateJanuary 25, 2013

✔ NPI 1174861108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in CA · C-2616981

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

30131 TOWN CENTER DR, Laguna Niguel, CA 92677

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Other Providers at the Same Location NPPES 20

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

MS. LINDA G. ABRAMSON M. A., LMFT

Marriage & Family Therapist

30131 TOWN CENTER DR, SUITE 104
LAGUNA NIGUEL, CA 92677

Orange County (949) 657-0636

ROLAND A STOIAN

Behavior Technician

30131 TOWN CENTER DR
LAGUNA NIGUEL, CA 92677

Orange County (949) 594-4455

DR. ANGELA CALTON M.D.

Family Medicine

30131 TOWN CENTER DR, SUITE 250
LAGUNA NIGUEL, CA 92677

Orange County (949) 363-9595

STACY LAVINO MFC

Marriage & Family Therapist

30131 TOWN CENTER DR, SUITE #292
LAGUNA NIGUEL, CA 92677

Orange County (949) 873-4673

NATALIE P MCFARLANE

Behavior Technician

30131 TOWN CENTER DR
LAGUNA NIGUEL, CA 92677

Orange County (949) 603-7703

JODY GOODRICH

Behavior Technician

30131 TOWN CENTER DR
LAGUNA NIGUEL, CA 92677

Orange County (949) 594-4455

QUINN JENSUN DANLEY

Behavior Technician

30131 TOWN CENTER DR
LAGUNA NIGUEL, CA 92677

Orange County (949) 594-4455

DILUSHA WIJESINGHE GUNARATNE

Behavior Technician

30131 TOWN CENTER DR
LAGUNA NIGUEL, CA 92677

Orange County (949) 201-5253

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 Leisure Care Home Care Agency, Inc's NPI number?

The NPI number for Leisure Care Home Care Agency, Inc is 1174861108. It was assigned to this organization in the NPPES registry on January 25, 2013.

Where is Leisure Care Home Care Agency, Inc located?

Leisure Care Home Care Agency, Inc is located at 30131 Town Center Dr Suite 205, Laguna Niguel, CA 92677. The listed phone number is (949) 363-7401.

What is Leisure Care Home Care Agency, Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Leisure Care Home Care Agency, Inc was last updated on January 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.