GHC of Upland Rcfe, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GHC OF UPLAND RCFE, LLC

Doing business as

Heritage Court Assisted Living

Practice address

275 Garnet Way # B
Upland, CA 91786-5932

Phone

(909) 204-5000

NPI assigned

Jun 19, 2018

Organization subpart

Yes

Parent organization

LIFE GENERATIONS HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Lois Mastrocola, DO

Title

Chief Financial Officer

Phone

(714) 241-5600

Specialties & licenses 1

Addresses

Other names 1

• Heritage Court Assisted Living Doing business as

Part of

Life Generations Healthcare LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Life Generations Healthcare LLC

  • Skilled Nursing Facility
  • Santa Ana, CA
  • NPI 1053345660
  NPPES parent name

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1841784287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUTTON CENTRE DR STE 400",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078762",
            "telephone_number": "714-241-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GARNET WAY # B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865932",
            "telephone_number": "909-204-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF UPLAND RCFE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE GENERATIONS HEALTHCARE LLC",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "MASTROCOLA",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-241-5600",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Court Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Nicole Ghaffari Vafa
• Ghassan Hadi MD Inc
• Payal Patel Ghayal, M.D.
• GHC Hospice Inc.
• GHC Hospice, Inc
• GHC of Upland SNF, LLC
• Margaret Giavanti
• David H. Gilbert, D.D.S.
• Eva Gilland
• Kristin Grace Girshin, DPT

• Assisted Living Facility in Upland, CA
• Providers in Upland, 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 Jun 19, 2018; 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.