C & R GUEST HOMES, INC. (NPI# 1083859094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083859094 |
| Entity Type | Organization |
| Organization Name | C & R GUEST HOMES, INC. |
| Other Organization Name | MONTICELLO HOME |
| Practice Address |
5581 Monticello Ave Buena Park CA 90621-1543 |
| Mailing Address |
7694 Heather Cir Buena Park CA 90620-1924 |
| Practice Telephone | 7146701139 |
| Practice Fax Number | 7147394371 |
| Mailing Telephone | 7144969990 |
| Mailing Fax Number | 7147394371 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |
| Authorized Official Name | MRS. ROSALINDA C ULIT (LICENSEE/ADMINISTRATOR) |
| Authorized Official Telephone | 7144969990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5550000600 | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Monticello Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881926806 | C & R Guest Homes, Inc. | Nursing Facility/Intermediate Care Facility | 2423 W Crescent Ave, Anaheim, CA 92801-5001 | 2010-02-01 |
| Street Address |
5581 MONTICELLO AVE |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| Find all providers in zip 90621 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063842763 | D&e Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10317 Diane Ave, Buena Park, CA 90620-4411 | 2013-11-15 |
| 1669801726 | Elizabeth G. Santos, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6161 San Rafael Dr, Buena Park, CA 90620-2834 | 2013-11-08 |
| 1760811814 | J and P Homes, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6891 San Pedro Cir, Buena Park, CA 90620-2978 | 2013-11-08 |
| 1689003733 | Tri-elizabeth Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7036 Van Buren Way, Buena Park, CA 90620-3832 | 2013-11-08 |
| 1598194649 | Tri-elizabeth Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8422 San Marino Dr, Buena Park, CA 90620-3013 | 2013-11-08 |
| 1730518895 | Elizabeth G. Santos, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6051 San Ysidro Cir, Buena Park, CA 90620-2849 | 2013-11-08 |
| 1114356276 | Elizabeth G. Santos, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6280 San Ricardo Way, Buena Park, CA 90620-2846 | 2013-11-08 |
| 1821427980 | Elizabeth G. Santos, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6288 San Ricardo Way, Buena Park, CA 90620-2846 | 2013-11-08 |
| 1851720908 | J and P Homes, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8472 San Capistrano Way, Buena Park, CA 90620-3021 | 2013-11-08 |
| 1003245499 | Psb Homes Inc. Dracaena Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8241 Dracaena Dr, Buena Park, CA 90620-4014 | 2013-11-05 |
| Find all providers in BUENA PARK | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.