MOM'S RETREAT BOARD & CARE HOME , LLC
NPI 1881369742
Assisted Living Facility in Fullerton, CA

Q: What is Mom's Retreat Board & Care Home , LLC's specialty?

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

Active since August 12, 2021

607 S PINE DR, FULLERTON, CA 92833(714) 770-0645(888) 459-2407 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mom's Retreat Board & Care Home , Llc NPPES

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

MOM'S RETREAT BOARD & CARE HOME , LLC (NPI 1881369742), doing business as Mom's Retreat Board & Care Home, is a healthcare organization registered as an assisted living facility in Fullerton, California and active in the NPI registry since August 2021. The organization lists Gabriela Garcia, Licensee/administrator, as its authorized official.

NPPES Registry Identity

NPI1881369742

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMOM'S RETREAT BOARD & CARE HOME , LLC

Location Address607 S PINE DRFullerton, CA 92833-3633

Mailing Address204 E Ellsworth AveAnaheim, CA 92805-4711 · (714) 829-6024 · Fax (888) 459-2407

Phone(714) 770-0645

Fax(888) 459-2407

Organization SubpartNo

Authorized OfficialGabriela GarciaLicensee/administrator · (714) 770-0625

Enumeration DateAugust 12, 2021

NPPES CertifiedAugust 12, 2021

✔ NPI 1881369742 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.

607 S PINE DR, Fullerton, CA 92833

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Other Names 1

Doing Business AsMom's Retreat Board & Care Home

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 Mom's Retreat Board & Care Home , LLC's NPI number?

The NPI number for Mom's Retreat Board & Care Home , LLC is 1881369742. It was assigned to this organization in the NPPES registry on August 12, 2021. The provider is doing business as Mom's Retreat Board & Care Home.

Where is Mom's Retreat Board & Care Home , LLC located?

Mom's Retreat Board & Care Home , LLC is located at 607 S Pine Dr, Fullerton, CA 92833. The listed phone number is (714) 770-0645.

What is Mom's Retreat Board & Care Home , 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 Mom's Retreat Board & Care Home , LLC was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.