Garden Ville Home Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

336427615 Issued in CA

Legal business name

GARDEN VILLE HOME CARE LLC

Practice address

6206 Walnut Ave
Chino, CA 91710-2774

Phone

(909) 248-1738

Fax

(310) 359-0888

NPI assigned

Jun 7, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Dulce Amores Redford, LICENSED ADMIN

Title

Administrator

Phone

(310) 528-4033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709942400000",
    "number": "1841729324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102774",
            "telephone_number": "909-270-3095",
            "fax_number": "310-424-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102774",
            "telephone_number": "909-248-1738",
            "fax_number": "310-359-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN VILLE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "REDFORD",
        "authorized_official_first_name": "DULCE",
        "authorized_official_middle_name": "AMORES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-528-4033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSED ADMIN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336427615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Chino, CA
• Providers in Chino, 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 9, 2024; 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.