Palmcrest Grand Home Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

198602069 Issued in CA

Legal business name

PALMCREST GRAND HOME ASSISTED LIVING LLC

Practice address

3503 Cedar Ave
Long Beach, CA 90807-3809

Phone

(562) 595-4551

Fax

(562) 490-3595

NPI assigned

May 12, 2016

Organization subpart

No

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

Authorized official

Name

Rachel M StreicherNPI 1750772414

Title

President

Phone

(323) 828-7822

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Streicher

  • Case Manager/Care Coordinator
  • Long Beach, CA
  • NPI 1750772414
  NPD (past) Authorized official

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1477909125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N LAS PALMAS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041047",
            "telephone_number": "323-828-7822",
            "fax_number": "562-426-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 CEDAR AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073809",
            "telephone_number": "562-595-4551",
            "fax_number": "562-490-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMCREST GRAND HOME ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "STREICHER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-828-7822"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "198602069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nidia Palma-Cordero, RN
• Lizbeth Ana Palma
• Marilse Palma
• Mayra Palma
• Palmcrest Care Center, LLC
• Palmcrest House,LLC
• Kevin Palmer
• Monique Palmer
• Virginia Isabel Palmer
• Melissa Palomar

• Assisted Living Facility in Long Beach, CA
• Providers in Long Beach, 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 May 12, 2016; 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.