Godwater Sag Holdings LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197608139 Issued in CA

Legal business name

GODWATER SAG HOLDINGS LLC

Doing business as

DBA Arcadia Retirement Village

Practice address

607 W Duarte Rd
Arcadia, CA 91007-7332

Phone

(626) 447-6070

Fax

(626) 447-2912

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Lourdes R Garcia, RN, MSN, MHA

Title

Managing Member

Phone

(818) 640-7684

Specialties & licenses 1

Addresses

Other names 1

• DBA Arcadia Retirement Village Doing business as

Locations

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1891187969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 WEST DUARTE RD",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-447-6070",
            "fax_number": "626-447-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W DUARTE RD",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077332",
            "telephone_number": "626-447-6070",
            "fax_number": "626-447-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODWATER SAG HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "818-640-7684",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MSN, MHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Arcadia Retirement Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Arcadia, CA
• Providers in Arcadia, 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 26, 2015; 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.