Organization Active NPI

WP Assisted Living LLC

  • Assisted Living Facility
  • Rancho Cucamonga, CA
National Provider Identifier
1669305330
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jun 4, 2026

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Green Olive Senior Living2 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.

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.

Verify at the official NPI Registry.