Organization Active NPI

Golden Village

  • Assisted Living Facility
  • Loma Linda, CA
National Provider Identifier
1821679382
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN VILLAGE
Practice address
11554 Richmont Rd
Loma Linda, CA 92354-3525
Phone
(909) 796-0014
NPI assigned
Apr 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Margie Labayog
Title
Administrator/Licensee
Phone
(909) 528-6469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11554 Richmont Rd
Loma Linda, CA 92354-3525

Mailing address

11555 Richmont Rd
Loma Linda, CA 92354-3524
Phone (909) 796-0014

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1821679382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 RICHMONT RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543524",
            "telephone_number": "909-796-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11554 RICHMONT RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543525",
            "telephone_number": "909-796-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "LABAYOG",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/LICENSEE",
        "authorized_official_telephone_number": "909-528-6469"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.