EXECUTIVE RESIDENTIAL SERVICES LLC
NPI 1215873088
Assisted Living Facility in Anaheim, CA

Q: What is Executive Residential Services LLC's NPI number?

The NPI number for Executive Residential Services LLC is 1215873088. It was assigned to this organization in the NPPES registry on April 24, 2026.

Q: What is Executive Residential Services LLC's specialty?

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

Active since April 24, 2026

856 N WEST ST, ANAHEIM, CA 92801(949) 258-3663 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Executive Residential Services Llc NPPES

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

EXECUTIVE RESIDENTIAL SERVICES LLC (NPI 1215873088) is a healthcare organization registered as an assisted living facility in Anaheim, California and active in the NPI registry since April 2026. The organization lists Genesis Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215873088

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEXECUTIVE RESIDENTIAL SERVICES LLC

Location Address856 N WEST STAnaheim, CA 92801-4302

Mailing Address856 N West StAnaheim, CA 92801-4302 · (949) 258-3663

Phone(949) 258-3663

Organization SubpartNo

Authorized OfficialGenesis JohnsonAdministrator · (562) 230-9589

Enumeration DateApril 24, 2026

NPPES CertifiedApril 24, 2026

✔ NPI 1215873088 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.

856 N WEST ST, Anaheim, CA 92801

Open in Google Maps ↗

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 Executive Residential Services LLC's NPI number?

The NPI number for Executive Residential Services LLC is 1215873088. It was assigned to this organization in the NPPES registry on April 24, 2026.

Where is Executive Residential Services LLC located?

Executive Residential Services LLC is located at 856 N West St, Anaheim, CA 92801. The listed phone number is (949) 258-3663.

What is Executive Residential Services LLC'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 Executive Residential Services LLC was last updated on April 24, 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.