Greenfield Care Center of Gardena

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

910000007 Issued in CA

Legal business name

GREENFIELD CARE CENTER OF GARDENA

Practice address

16530 S Broadway St
Gardena, CA 90248-2714

Phone

(310) 329-9929

Fax

(310) 329-1024

NPI assigned

Apr 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jenq Horng Chen

Title

President

Phone

(310) 889-9929

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1629241120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 PONTIUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255611",
            "telephone_number": "310-889-9929",
            "fax_number": "310-889-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 S BROADWAY ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902482714",
            "telephone_number": "310-329-9929",
            "fax_number": "310-329-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD CARE CENTER OF GARDENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JENQ",
        "authorized_official_middle_name": "HORNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-889-9929",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629241120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Green
• Benjamin Greenberg-Ocegueda, MSW, ACSW, LSWAIC
• Marissa Greenberg
• Benetta Greene Nealy
• Dani Lynn Greene
• Georgette Louise Greer-Brewer, LMFT
• Cameron Gregg
• Clifford Rene Gregory, TRANSPORTATION
• Janice Gregory, R.N., P.H.N.
• Sharondeep Grewall

• Skilled Nursing Facility in Gardena, CA
• Providers in Gardena, 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 Jan 19, 2017; 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.