Gem Initiative
NPI 1043956394 · Respite Care · Los Angeles, CA
Provider details
- NPI number
- 1043956394
- Entity type
- Organization
- Primary specialty
- Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Sophesias Johnson, Administrator/Ow Er(310) 749-5563
Specialties & taxonomies
Respite Care Facility
- Meals Provider174200000X
Other Service Providers
- PACE Provider Organization251T00000X
Agencies
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
- Community Based Hospice Care Agency251G00000X
Agencies
Nursing & Custodial Care Facilities
- Lodging Provider177F00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
11 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (10)
- 1509 W 130th StCompton, CA 90222-1803Phone: (310) 749-5563
- 1110 W 156th StCompton, CA 90220-3508Phone: (310) 720-7165
- 14598 Stonybrook CtEastvale, CA 92880-3713Phone: (310) 720-7165
- 12515 Hudson River DrEastvale, CA 91752-4327Phone: (310) 720-7165
- 15986 Baltray WayFontana, CA 92336-4546Phone: (310) 720-7165
- 1503 W 123rdHawthorne, CA 90250Phone: (310) 749-5563
- 4091 Elderberry RdgLake Elsinore, CA 92530-2044Phone: (310) 720-7165
- 170 W Trafford StLong Beach, CA 90805-2146Phone: (310) 720-7165
- 12720 S BroadwayLos Angeles, CA 90061-1215Phone: (310) 749-5563
Registry dates
- Enumerated
- 2022-05-10
- Last updated
- 2026-01-17
- Certified
- 2026-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.