Organization Active NPI

Golden Grove Care One

  • Adult Care Home Facility
  • Garden Grove, CA
National Provider Identifier
1285545723
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GOLDEN GROVE CARE ONE
Practice address
12256 Haga St
Garden Grove, CA 92841-3227
Phone
(949) 994-2900
Fax
(714) 333-4412
NPI assigned
Sep 14, 2026
Organization subpart
Yes
Parent organization
GOLDEN GROVE CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Ahmed Attrah
Title
Administrator
Phone
(949) 994-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

12256 Haga St
Garden Grove, CA 92841-3227

Mailing address

12256 Haga St
Garden Grove, CA 92841-3227
Phone (949) 994-2900

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1285545723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12256 HAGA ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413227",
            "telephone_number": "949-994-2900",
            "fax_number": "714-333-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12256 HAGA ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413227",
            "telephone_number": "949-994-2900",
            "fax_number": "714-333-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GROVE CARE ONE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN GROVE CARE LLC",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "ATTRAH",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-994-2900"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.