Garden Grove Guest Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GARDEN GROVE GUEST HOME LLC

Practice address

12882 Shackelford LN
Garden Grove, CA 92841-5109

Phone

(323) 806-0786

NPI assigned

Aug 1, 2021

Last updated

Aug 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yehuda Cohen

Title

Owner

Phone

(323) 806-0786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627776000000",
    "number": "1467125757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12882 SHACKELFORD LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928415109",
            "telephone_number": "323-806-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12882 SHACKELFORD LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928415109",
            "telephone_number": "323-806-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN GROVE GUEST HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "YEHUDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-806-0786"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Garcia
• Veronica Isabella Garcia
• Zugey Y. Garcia
• Garden Grove Convalescent Hospital Inc (Garden Grove Convalescent Hospital & Guest Home)
• Garden Grove Foot and Ankle Clinic
• Garden Grove Medical and Dental Surgery Center, LLC
• Garden Grove Medical Group Inc
• Garden Grove Medical Investors LTD (Orangegrove Rehabilitation Hospital)
• Garden Grove Medical Rehabilitation Center, Inc.
• Garden Grove MRI Center

• Assisted Living Facility in Garden Grove, CA
• Providers in Garden 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 Aug 1, 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.