Glen Park at Monrovia

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197802560 Issued in CA

Legal business name

GLEN PARK AT MONROVIA

Practice address

110 N Mountain Ave
Monrovia, CA 91016-2435

Phone

(626) 357-6818

Fax

(626) 305-5339

NPI assigned

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Tillman Pink Jr.

Title

President

Phone

(818) 242-9000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1508291022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MARIPOSA ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053254",
            "telephone_number": "818-242-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MOUNTAIN AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162435",
            "telephone_number": "626-357-6818",
            "fax_number": "626-305-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN PARK AT MONROVIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "PINK",
        "authorized_official_first_name": "TILLMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-242-9000",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197802560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Glasgow
• Latangamyika Glasgow
• Anrashea Glass
• Linda Glass
• Holly Gleacher
• Maire Glenane
• Melissa Glenn
• Jordon Glenos
• Chantel Marie Gline
• Xandria Gloddy

• Assisted Living Facility in Monrovia, CA
• Providers in Monrovia, 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 Jul 11, 2014; 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.