Organization Active NPI

Rolling Green Senior, Inc.

  • Skilled Nursing Facility
  • Murrieta, CA
National Provider Identifier
1528656089
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROLLING GREEN SENIOR, INC.
Practice address
42007 Thoroughbred LN
Murrieta, CA 92562-6105
Phone
(626) 893-7804
NPI assigned
Jan 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Authorized official

Name
Gertrude OkoroNPI 1356909659
Title
President
Phone
(626) 893-7804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

42007 Thoroughbred LN
Murrieta, CA 92562-6105

Mailing address

1541 Oxford CT
West Covina, CA 91791-4044
Phone (626) 893-7804

Other names 1

  • ROLLING GREEN SENIOR CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1528656089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 OXFORD CT",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917914044",
            "telephone_number": "626-893-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42007 THOROUGHBRED LN",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626105",
            "telephone_number": "626-893-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING GREEN SENIOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-893-7804"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROLLING GREEN SENIOR CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.