Organization Active NPI

Golden Horizon Senior Care LLC

  • Assisted Living Facility
  • Ontario, CA
National Provider Identifier
1043956485
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN HORIZON SENIOR CARE LLC
Practice address
1524 S Euclid Ave
Ontario, CA 91762-5821
Phone
(786) 564-3771
Fax
(909) 408-8027
NPI assigned
May 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Ebraheem H Hamed
Title
Owner
Phone
(786) 564-3771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1524 S Euclid Ave
Ontario, CA 91762-5821

Mailing address

7159 Hazelwood Way
Fontana, CA 92336-1659
Phone (786) 564-3771

Other names 1

  • Golden Horizon Senior Care LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1043956485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7159 HAZELWOOD WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361659",
            "telephone_number": "786-564-3771",
            "fax_number": "909-408-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 S EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625821",
            "telephone_number": "786-564-3771",
            "fax_number": "909-408-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HORIZON SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "HAMED",
        "authorized_official_first_name": "EBRAHEEM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-564-3771"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Horizon Senior Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.