Healthcare Provider Details

I. General information

NPI: 1003720145
Provider Name (Legal Business Name): MORNING LIGHT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 SOMERSET AVE
CASTRO VALLEY CA
94546-3345
US

IV. Provider business mailing address

3601 MARTIN DR
SAN MATEO CA
94403-2920
US

V. Phone/Fax

Practice location:
  • Phone: 510-606-8455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YUHAO LI
Title or Position: ADMINISTRATOR
Credential:
Phone: 714-425-1306