Leisure Grove, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEISURE GROVE, LLC

Practice address

413 E Cypress St
Glendale, CA 91205-3334

Phone

(818) 244-2323

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Steven Atlas

Title

Manager

Phone

(323) 475-1800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1497517973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 392",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103537",
            "telephone_number": "323-475-1800",
            "fax_number": "323-475-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E CYPRESS ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053334",
            "telephone_number": "818-244-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE GROVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "ATLAS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-475-1800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Lee
• Younji Lee, PHARMD
• Yu-Ching Karen Lee, NP
• Yvonne Shuwa Lee, D.M.D.
• Legacy of Tender Care Hospice Inc
• Leisure Healthcare LLC
• Leisure Vale Retirement Hotel
• Leland E Watkins M D Inc
• Lelanie M. Luna, M.D., Faap, Inc.
• Raquel Lemus

• Assisted Living Facility in Glendale, CA
• Providers in Glendale, 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 29, 2024; 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.