Commonwealth Golden Age Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COMMONWEALTH GOLDEN AGE CORP

Practice address

150 S Commonwealth Ave
Los Angeles, CA 90004-6006

Phone

(818) 675-3377

NPI assigned

Nov 8, 2022

Organization subpart

No

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

Authorized official

Name

Alan Heshel

Title

Licensee

Phone

(310) 753-3046

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1831807866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S COMMONWEALTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046006",
            "telephone_number": "818-675-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S COMMONWEALTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046006",
            "telephone_number": "818-675-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH GOLDEN AGE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "HESHEL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "310-753-3046"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Nov 8, 2022; 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.