Active NPI
Golden Horizon Senior Care LLC
- Assisted Living Facility
- Ontario, CA
National Provider Identifier
1043956485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.