MEDICARE: DANBROOK CARE HOME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1639929755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANBROOK CARE HOME LLC

Provider Business Mailing Address
First Line	:	3359 W ORANGE AVE
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3003
Country	:	US
Telephone Number	:	714-272-1701
Fax Number	:

Provider Business Practice Location Address
First Line	:	3359 W ORANGE AVE
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3003
Country	:	US
Telephone Number	:	714-272-1701
Fax Number	:

Authorized Official
Title or Position	:	LICENSEE
Name	:	MA EUNICE REYES
Credential	:
Telephone Number	:	714-272-1701

Provider Enumeration Date	:	03/22/2024
Last Update Date	:	05/22/2025

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