Organization Active NPI

Golden Groves Residential Care LLC

  • Assisted Living Facility
  • Long Beach, CA
National Provider Identifier
1043945132
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN GROVES RESIDENTIAL CARE LLC
Practice address
2841 Golden Ave
Long Beach, CA 90806-1406
Phone
(562) 426-8989
Fax
(562) 306-1135
NPI assigned
Jul 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Angela Groves
Title
Rcfe Administrator
Phone
(310) 803-3899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2841 Golden Ave
Long Beach, CA 90806-1406

Mailing address

2841 Golden Ave
Long Beach, CA 90806-1406
Phone (562) 426-8989

Other identifiers 1

IdentifierTypeStateIssuer
198320174OtherCACDSS FACILITY NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043945132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 GOLDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061406",
            "telephone_number": "562-426-8989",
            "fax_number": "562-306-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 GOLDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061406",
            "telephone_number": "562-426-8989",
            "fax_number": "562-306-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GROVES RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "RCFE ADMINISTRATOR",
        "authorized_official_telephone_number": "310-803-3899",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDSS FACILITY NUMBER",
            "identifier": "198320174",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.