Golden Cross Care Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GOLDEN CROSS CARE INC

Doing business as

Cloverleaf Healthcare Center

Practice address

275 N San Jacinto St
Hemet, CA 92543-4453

Phone

(951) 648-9441

Fax

(951) 766-1908

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Isidra Agulto

Title

Administrator

Phone

(951) 658-9441

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cloverleaf Healthcare Center Doing business as

Tax ID family

Cloverleaf Healthcare Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Golden Cross Care Inc

  dba Golden Cross Health Care

  • Nursing Facility/Intermediate Care Facility
  • Pasadena, CA
  • NPI 1972587772
  NPD tax ID

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326167453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434453",
            "telephone_number": "951-648-9441",
            "fax_number": "951-766-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434453",
            "telephone_number": "951-648-9441",
            "fax_number": "951-766-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CROSS CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGULTO",
        "authorized_official_first_name": "ISIDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-658-9441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05223L",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cloverleaf Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Marie Goeden, RN
• Yekaterina Gogolushko
• Rajit Raj Gohil, MD
• Christian Goin
• Alicia Golchuk
• Golden Gate Health
• Golden Royal Health Specialist Inc.
• Gerardo Miguel Gomez Lanza, MD
• Ana Lilia Gomez, RBT
• Theresa A Gonzales Kendrick, DSW, MSW, ACSW

• Skilled Nursing Facility in Hemet, CA
• Providers in Hemet, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.