MEDICARE: HAPPY LIVING RELIABLE 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	:	1982550570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY LIVING RELIABLE HOME LLC

Provider Business Mailing Address
First Line	:	109 E 232ND PL
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90745-5337
Country	:	US
Telephone Number	:	424-477-5113
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 E 232ND PL
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90745-5337
Country	:	US
Telephone Number	:	424-477-5113
Fax Number	:

Authorized Official
Title or Position	:	ADMINSTRATOR/OWNER
Name	:	MRS. GLADYS TUMALIUAN CUELA
Credential	:
Telephone Number	:	310-634-7501

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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