Executive Residential Services LLC
NPI 1215873088 · Assisted Living Facility · Anaheim, CA
Executive Residential Services LLC is a Assisted Living Facility organization in Anaheim, CA (NPI 1215873088).
Provider details
- NPI number
- 1215873088
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Genesis Johnson, Administrator(562) 230-9589
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2026-04-24
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Frequently asked questions
- What is Executive Residential Services LLC's NPI number?
- Executive Residential Services LLC's National Provider Identifier (NPI) is 1215873088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Residential Services LLC?
- Executive Residential Services LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Executive Residential Services LLC located?
- Executive Residential Services LLC's practice location on file with NPPES is 856 N West St, Anaheim, CA 92801-4302.
- What is Executive Residential Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Executive Residential Services LLC is (949) 258-3663.
- Who is the authorized official for Executive Residential Services LLC?
- The authorized official listed on Executive Residential Services LLC's NPPES record is Genesis Johnson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Residential Services LLC's NPI active?
- Yes — Executive Residential Services LLC's NPI (1215873088) is active in the NPPES registry as of the last update on 2026-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.