OrganizationActive
A Faithful Home LLC
NPI 1528419207 · Assisted Living Facility · Mission Viejo, CA
Provider details
- NPI number
- 1528419207
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Theresa Kholoma, Administrator/Licensee(714) 300-8055
- License
- 306004810 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
26642 Salamanca Dr
Mission Viejo, CA 92691-4923
Phone: (949) 382-2818
Fax: (949) 382-2818
Approximate (ZIP-level) locationGet directions
Mailing address
26642 Salamanca Dr
Mission Viejo, CA 92691-4923
Registry dates
- Enumerated
- 2016-06-24
- Last updated
- 2016-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.