Rose Garden Residential Operator, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROSE GARDEN RESIDENTIAL OPERATOR, LLC

Doing business as

Rose Garden Residential Care

Practice address

1350 Wabash Ave
Mentone, CA 92359-1124

Phone

(909) 794-1040

Fax

(909) 389-9239

NPI assigned

Jan 16, 2013

Last updated

Feb 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melyn Cadabes

Title

VP of Financial Services

Phone

(818) 273-8900

Specialties & licenses 1

Addresses

Other names 1

• Rose Garden Residential Care Doing business as

Locations

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1851639405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 PENNSYLVANIA AVE",
            "address_2": "SUITE 107",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143369",
            "telephone_number": "818-273-8900",
            "fax_number": "818-273-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WABASH AVE",
            "city": "MENTONE",
            "state": "CA",
            "postal_code": "923591124",
            "telephone_number": "909-794-1040",
            "fax_number": "909-389-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE GARDEN RESIDENTIAL OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "CADABES",
        "authorized_official_first_name": "MELYN",
        "authorized_official_title_or_position": "VP OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "818-273-8900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Garden Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nice Avenue LLC (Mill Creek Manor)
• Paradise Gardens Manor LLC (Paradise Gardens Manor)
• Lisbeth Anahi Perez
• James Clark Reynolds, RPH
• Rose Garden Residential Care
• Lindsay Ruston, LPCC
• Anthony Sanders
• Vineet Kumar Sharma, MD
• Ahmed A Shawakha
• Laurel Elizabeth Slater, RNC

• Assisted Living Facility in Mentone, CA
• Providers in Mentone, 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 Feb 9, 2016; 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.