Healthcare Provider Details

I. General information

NPI: 1982533121
Provider Name (Legal Business Name): G.-Q. GUEST HOMES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 S WALNUT ST
ANAHEIM CA
92802-2242
US

IV. Provider business mailing address

1584 W PACIFIC PL
ANAHEIM CA
92802-2514
US

V. Phone/Fax

Practice location:
  • Phone: 714-991-5428
  • Fax: 714-991-5428
Mailing address:
  • Phone: 714-776-8130
  • Fax: 714-776-8130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK GARCIANO
Title or Position: ADMINISTRATOR
Credential:
Phone: 714-253-6016