Palomino Residential Care Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PALOMINO RESIDENTIAL CARE INC.

Doing business as

Grandridge Residential Care

Practice address

2016 S Grandridge Ave
Monterey Park, CA 91754-6427

Phone

(323) 353-1167

NPI assigned

May 8, 2024

Organization subpart

No

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

Authorized official

Name

Amanda Palomino

Title

Ceo

Phone

(323) 353-1167

Specialties & licenses 1

Addresses

Other names 1

• Grandridge Residential Care Doing business as

Tax ID family

Chalet Terrace Senior Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Palomino Residential Care Inc.

  dba Chalet Terrace Senior Living

  • Assisted Living Facility
  • Monterey Park, CA
  • NPI 1336997980
  NPD tax ID
• Palomino Residential Care Inc.

  • Assisted Living Facility
  • Monterey Park, CA
  • NPI 1851149496
  NPD tax ID

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1164270716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PIEDRA WAY",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917545414",
            "telephone_number": "323-353-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S GRANDRIDGE AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546427",
            "telephone_number": "323-353-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMINO RESIDENTIAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "PALOMINO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-353-1167"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grandridge Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Alliance Medical Group
• Pacific Shores Medical Group, Inc.
• Pacific Vistas Telehealth Inc.
• Sara Marie Padilla
• Ruth Paez, PHYSICIAN ASSISTANT
• Palomino Residential Care Inc. (Chalet Terrace Senior Living)
• Palomino Residential Care Inc.
• Palu Inc (Monterey Park Professional Pharmacy)
• Silvia Pan, L.AC
• Tsueyhwa Pan, LCSW

• Assisted Living Facility in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.