Organization
Gem Initiative
Provider's NPPES record last updated: January 17, 2026
Overview
- Entity Type
- Organization
- NPI
- 1043956394
- Primary Specialty
- Respite Care
- Practice Location
- Los Angeles, California
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:49 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Respite Care
Respite Care Facility
Definition to come.
Taxonomy code 385H00000X Meals
Other Service Providers
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Taxonomy code 174200000XLodging
Other Service Providers
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Taxonomy code 177F00000XHospice Care, Community Based
Agencies
Definition to come...
Taxonomy code 251G00000XNursing Care
Agencies
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Taxonomy code 251J00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
Agencies
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Taxonomy code 251T00000XAssisted Living Facility
Nursing & Custodial Care Facilities
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.
Taxonomy code 310400000XIntermediate Care Facility, Mental Illness
Nursing & Custodial Care Facilities
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Taxonomy code 310500000XCustodial Care Facility
Nursing & Custodial Care Facilities
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Taxonomy code 311Z00000XCustodial Care Facility
Adult Care Home
Nursing & Custodial Care Facilities
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.
Taxonomy code 311ZA0620XResidential Treatment Facility, Physical Disabilities
Residential Treatment Facilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Taxonomy code 320700000XPrivate Vehicle
Transportation Services
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Taxonomy code 347C00000X
Practice Locations
Practice Location
700 E 80th St
Los Angeles, California 90001-3210
Phone: (310) 720-7165
Additional Practice Location
170 W Trafford St
Long Beach, California 90805-2146
Phone: (310) 720-7165
Additional Practice Location
1509 W 130th St
Compton, California 90222-1803
Phone: (310) 749-5563
Additional Practice Location
12720 S Broadway
Los Angeles, California 90061-1215
Phone: (310) 749-5563
Additional Practice Location
1503 W 123rd
Hawthorne, California 90250
Phone: (310) 749-5563
Additional Practice Location
12515 Hudson River Dr
Eastvale, California 91752-4327
Phone: (310) 720-7165
Additional Practice Location
14598 Stonybrook Ct
Eastvale, California 92880-3713
Phone: (310) 720-7165
Additional Practice Location
15986 Baltray Way
Fontana, California 92336-4546
Phone: (310) 720-7165
Additional Practice Location
40052 Daphne Dr
Murrieta, California 92563-6528
Phone: (310) 720-7165
Additional Practice Location
4091 Elderberry Rdg
Lake Elsinore, California 92530-2044
Phone: (310) 720-7165
Additional Practice Location
1110 W 156th St
Compton, California 90220-3508
Phone: (310) 720-7165
Record Information
- Enumeration Date
- May 10, 2022
- Provider's NPPES Record Last Updated
- January 17, 2026
- Certification Date
- January 17, 2026
- NPISignal NPPES Dataset
- August 2026
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