GRACIOUS CARE INC – NPI #1073478251
Assisted Living Facility

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.

Health Care Provider Taxonomy Code for Assisted Living Facility

GRACIOUS CARE INC is an assisted living facility located in EASTVALE, CA. NPPES has assigned the NPI number 1073478251 to GRACIOUS CARE INC on December 19, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRACIOUS CARE INC below.

NPI Profile for
GRACIOUS CARE INC

NPI Number
1073478251
Enumeration Date

(about 6 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRACIOUS CARE INC
Primary location
12515 HUDSON RIVER DR
EASTVALE, CA 91752-4327
Phone: (909) 994-6204 Fax: (951) 427-1047
1 Other location(s):
14598 Stonybrook Ct
Corona, CA 92880-3713
Phone: (909) 994-6204
Fax: (909) 427-1047
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SANDY ZHAO
MANAGER
Phone: (909) 994-6204
Updated
Certification Date
Dec 19, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GRACIOUS CARE INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherCCLDCA331880740
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)
385H00000X
- Respite Care
347C00000X
- Private Vehicle
320700000X
- Residential Treatment Facility, Physical Disabilities
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
315P00000X
- Intermediate Care Facility, Intellectual Disabilities
311Z00000X
- Custodial Care Facility
311500000X
- Alzheimer Center (Dementia Center)
3104A0630X
- Assisted Living Facility / Assisted Living, Behavioral Disturbances
3104A0625X
- Assisted Living Facility / Assisted Living, Mental Illness
251V00000X
- Voluntary or Charitable
251T00000X
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
177F00000X
- Lodging
174200000X
- Meals

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.