GHC of Tem - Rcfe, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GHC OF TEM - RCFE, LLC

Doing business as

Temecula Memory Care

Practice address

44320 Campanula Way
Temecula, CA 92592-7903

Phone

(714) 241-5600

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Lois Mastrocola

Title

Chief Financial Officer

Phone

(714) 241-5600

Specialties & licenses 1

Addresses

Other names 1

• Temecula Memory Care Doing business as

Tax ID family

GHC of Tem - Rcfe LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• GHC of Tem - Rcfe, LLC

  • Substance Abuse Rehabilitation Facility
  • Temecula, CA
  • NPI 1356165625
  NPD tax ID

Locations

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1568089522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUTTON CENTRE DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075745",
            "telephone_number": "714-241-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44320 CAMPANULA WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925927903",
            "telephone_number": "714-241-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF TEM - RCFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "MASTROCOLA",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-241-5600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temecula Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Carl Geroza, PTA
• Gloria Jean Ghanem-Ybarra, PSY.D.
• Ariga Gharibian
• Kaitlyn Mitra Ghassemi, DO
• GHC of Tem - Rcfe, LLC
• GHC of Tem-SNF, LLC
• Ali Reza Ghorbani, DO
• Eugena Marcelina Giambuzzi, MFT
• Jeremiah Gibson
• Dayna Richelle Giehl

• Skilled Nursing Facility in Temecula, CA
• Providers in Temecula, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.