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ABUNDANT GRACE CARE VILLA
NPI 1699555334
Assisted Living Facility in Anaheim, CA

Active since October 02, 2023
9672 COLONY ST, ANAHEIM, CA 92804(562) 774-6297(562) 381-9333 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2023, Oct 2, 2023 (2 updates tracked since 2023).

About Abundant Grace Care Villa NPPES

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

ABUNDANT GRACE CARE VILLA (NPI 1699555334) is a healthcare organization registered as an assisted living facility in Anaheim, California and active in the NPI registry since October 2023. The organization lists Theresa Dompreh-mensah, Licensee/administrator, as its authorized official.

NPPES Registry Identity

NPI1699555334
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameABUNDANT GRACE CARE VILLA
Location Address9672 COLONY STAnaheim, CA 92804-3475
Mailing Address13915 Fidler AveBellflower, CA 90706-2235 · (562) 774-6297 · Fax (562) 381-9333
Phone(562) 774-6297
Fax(562) 381-9333
Organization SubpartNo
Authorized OfficialTheresa Dompreh-mensahLicensee/administrator · (562) 774-6297
Enumeration DateOctober 2, 2023
Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1699555334 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.
9672 COLONY ST, Anaheim, CA 92804
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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 Abundant Grace Care Villa's NPI number?

The NPI number for Abundant Grace Care Villa is 1699555334. It was assigned to this organization in the NPPES registry on October 2, 2023.

Where is Abundant Grace Care Villa located?

Abundant Grace Care Villa is located at 9672 Colony St, Anaheim, CA 92804. The listed phone number is (562) 774-6297.

What is Abundant Grace Care Villa'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 Abundant Grace Care Villa was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.