Galaxy Guest Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GALAXY GUEST HOME LLC

Practice address

12802 Curtis and King Rd
Norwalk, CA 90650-2177

Phone

(949) 247-4879

NPI assigned

Apr 18, 2024

Organization subpart

No

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

Authorized official

Name

Emma Maralli-Tamayo

Title

Ceo

Phone

(949) 247-4879

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1366297855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 CURTIS AND KING RD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502177",
            "telephone_number": "949-247-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 CURTIS AND KING RD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502177",
            "telephone_number": "949-247-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY GUEST HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "MARALLI-TAMAYO",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-247-4879"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Jayne Frederick, PSY.D.
• Madison Fry
• Cathy K Fujimura, MS, CCC-SLP
• Eva Shanching Fukumoto, LCSW
• Lauryn Nycole Fuller
• Brian Straud Galey, LVN
• Victor Boado Gallardo Jr.
• Cesar M Gallegos, PHD
• Grecia Galvan Salas
• Cristina Galvez-Cano

• Assisted Living Facility in Norwalk, CA
• Providers in Norwalk, 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 Apr 18, 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.