Active NPI
A Splendor Senior Living - the Glendora, Inc.
- Assisted Living Facility
- Glendora, CA
National Provider Identifier
1407240393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 198601845
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.