Healthcare Provider Details

I. General information

NPI: 1982550570
Provider Name (Legal Business Name): HAPPY LIVING RELIABLE HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 E 232ND PL
CARSON CA
90745-5337
US

IV. Provider business mailing address

109 E 232ND PL
CARSON CA
90745-5337
US

V. Phone/Fax

Practice location:
  • Phone: 424-477-5113
  • Fax:
Mailing address:
  • Phone: 424-477-5113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. GLADYS TUMALIUAN CUELA
Title or Position: ADMINSTRATOR/OWNER
Credential:
Phone: 310-634-7501