Active NPI
WP Assisted Living LLC
- Assisted Living Facility
- Rancho Cucamonga, CA
National Provider Identifier
1669305330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- WP ASSISTED LIVING LLC
- Practice address
- 9579 Seasons Dr
Rancho Cucamonga, CA 91730-6712 - Phone
- (657) 722-9269
- NPI assigned
- Jun 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patsara Chantharaseth
- Title
- Ceo
- Phone
- (657) 722-9269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
9579 Seasons Dr
Rancho Cucamonga, CA 91730-6712
Mailing address
6305 Nobury CT
Eastvale, CA 92880-8567
Phone (657) 722-9269
Other names 1
- Green Olive Senior Living
National Provider Directory
National Provider Directory- Tax ID family
- Green Olive Senior Living
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Rancho Cucamonga, CA
- NPI 1114724424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780531200000",
"number": "1669305330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6305 NOBURY CT",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928808567",
"telephone_number": "657-722-9269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9579 SEASONS DR",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917306712",
"telephone_number": "657-722-9269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WP ASSISTED LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A",
"authorized_official_last_name": "CHANTHARASETH",
"authorized_official_first_name": "PATSARA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "657-722-9269",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Green Olive Senior Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.