Organization Active NPI

Inspired Elderly Care Living

  • Assisted Living Facility
  • West Covina, CA
National Provider Identifier
1376131086
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
INSPIRED ELDERLY CARE LIVING
Practice address
1438 E Portner St
West Covina, CA 91791-3538
Phone
(909) 240-1321
NPI assigned
Jan 7, 2021
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Bradley Garberich
Title
Administrator/Owner
Phone
(949) 278-6587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1438 E Portner St
West Covina, CA 91791-3538

Mailing address

1438 E Portner St
West Covina, CA 91791-3538

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1376131086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 E PORTNER ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 E PORTNER ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913538",
            "telephone_number": "909-240-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED ELDERLY CARE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "GARBERICH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "949-278-6587"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.