Organization · NPI-2

Gem Initiative

Respite Care · Los Angeles, CA

NPI number1043956394
StatusActive
Last updated in NPPESJan 17, 2026

Details

NPI
1043956394
Entity type
Organization (NPI-2)
Legal business name
Gem Initiative
Organization subpart
No
Enumeration date
May 10, 2022
Certification date
Jan 17, 2026
Last updated
Jan 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
385H00000X Respite Care––Yes
174200000X Meals––
251T00000X PACE Provider Organization––
310400000X Assisted Living Facility––
251G00000X Hospice Care, Community Based––
310500000X Intermediate Care Facility, Mental Illness––
177F00000X Lodging––
311Z00000X Custodial Care Facility––
311ZA0620X Custodial Care Facility, Adult Care Home––
347C00000X Private Vehicle––
251J00000X Nursing Care––
320700000X Residential Treatment Facility, Physical Disabilities––

Practice location

700 E 80th St
Los Angeles, CA 90001-3210

Phone 310-720-7165

Mailing address

300 Long Beach Blvd Unit 21139
Long Beach, CA 90801-7168

Phone 310-749-5563

Other practice locations

1509 W 130th St
Compton, CA 90222-1803

Phone 310-749-5563

12720 S Broadway
Los Angeles, CA 90061-1215

Phone 310-749-5563

1503 W 123rd
Hawthorne, CA 90250

Phone 310-749-5563

12515 Hudson River Dr
Eastvale, CA 91752-4327

Phone 310-720-7165

14598 Stonybrook Ct
Eastvale, CA 92880-3713

Phone 310-720-7165

15986 Baltray Way
Fontana, CA 92336-4546

Phone 310-720-7165

40052 Daphne Dr
Murrieta, CA 92563-6528

Phone 310-720-7165

4091 Elderberry Rdg
Lake Elsinore, CA 92530-2044

Phone 310-720-7165

1110 W 156th St
Compton, CA 90220-3508

Phone 310-720-7165

170 W Trafford St
Long Beach, CA 90805-2146

Phone 310-720-7165

Authorized official

Sophesias Johnson
Administrator/Ow Er
3107495563

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