Rock of Ages Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROCK OF AGES MANOR LLC

Practice address

7445 Pacific Ave
Lemon Grove, CA 91945-2318

Phone

(619) 844-4566

NPI assigned

Jan 22, 2026

Organization subpart

No

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

Authorized official

Name

Maryl Evangelista

Title

Administrator

Phone

(619) 844-4566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1407705569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 PACIFIC AVE",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919452318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 PACIFIC AVE",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919452318",
            "telephone_number": "619-844-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK OF AGES MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "MARYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-844-4566"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abner Kenneth Rivera II
• Anna Rebecca Rivera
• Logan Robertson
• Penny Robertson, CNA
• William Joseph Rocha Jr., CADPT 111 CS
• Charles Anthony Rodriguez
• Reyna Marie Roman
• Claire Romero
• Eva M Romero
• Maria Guadalupe Romo

• Assisted Living Facility in Lemon Grove, CA
• Providers in Lemon Grove, 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 Jan 22, 2026; 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.