Organization Active NPI

A Splendor Senior Living - the Glendora, Inc.

  • Assisted Living Facility
  • Glendora, CA
National Provider Identifier
1407240393
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
198601845 Issued in CA
Legal business name
A SPLENDOR SENIOR LIVING - THE GLENDORA, INC.
Practice address
452 Sellers St
Glendora, CA 91741-3846
Phone
(626) 594-0152
Fax
(626) 594-0178
NPI assigned
Mar 27, 2015
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Jason Chuang
Title
Administrator
Phone
(626) 594-0152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 198601845 CA Primary

Addresses

Primary practice location

452 Sellers St
Glendora, CA 91741-3846

Mailing address

452 Sellers St
Glendora, CA 91741-3846
Phone (626) 594-0152

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1407240393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 SELLERS ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413846",
            "telephone_number": "626-594-0152",
            "fax_number": "626-594-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 SELLERS ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413846",
            "telephone_number": "626-594-0152",
            "fax_number": "626-594-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SPLENDOR SENIOR LIVING - THE GLENDORA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "CHUANG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-594-0152"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "198601845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.