Ymg Residential Care, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

19760806 Issued in CA

Legal business name

YMG RESIDENTIAL CARE, INC.

Practice address

216 N Burlington Ave
Los Angeles, CA 90026-5420

Phone

(213) 484-8192

NPI assigned

Mar 13, 2016

Last updated

Mar 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Yolanda M Gonzalez, RCFE CCL#197608063

Title

Rcfe License Adminstrator

Phone

(213) 484-8192

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457827200000",
    "number": "1629439070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N BURLINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265420",
            "telephone_number": "213-484-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N BURLINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265420",
            "telephone_number": "213-484-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMG RESIDENTIAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-13",
        "last_updated": "2016-03-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RCFE LICENSE ADMINSTRATOR",
        "authorized_official_telephone_number": "213-484-8192",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RCFE CCL#197608063"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "19760806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, 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 Mar 13, 2016; 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.