Organization Active NPI

Aureus Acquisition I, LLC

Doing business as Brighton Garden of San Dimas

  • Skilled Nursing Facility
  • San Dimas, CA
National Provider Identifier
1902851488
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
197803192 Issued in CA
Legal business name
AUREUS ACQUISITION I, LLC
Doing business as
Brighton Garden of San Dimas
Practice address
1740 S San Dimas Ave
San Dimas, CA 91773-5108
Phone
(909) 394-0304
Fax
(909) 394-0903
NPI assigned
May 23, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
John M Spann
Title
Executive Director
Phone
(909) 394-0304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 197803192 CA Primary

Addresses

Primary practice location

1740 S San Dimas Ave
San Dimas, CA 91773-5108

Mailing address

790 Westpark Dr.
T-900, Att: Medicare Billing, M. Garcia
McLean, VA 22102
Phone (703) 854-0823

Other names 1

  • BRIGHTON GARDEN OF SAN DIMAS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brighton Gardens by Mar4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1902851488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 WESTPARK DR.",
            "address_2": "T-900, ATT: MEDICARE BILLING, M. GARCIA",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22102",
            "telephone_number": "703-854-0823",
            "fax_number": "703-854-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 S SAN DIMAS AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917735108",
            "telephone_number": "909-394-0304",
            "fax_number": "909-394-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUREUS ACQUISITION I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SPANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-394-0304"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "197803192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTON GARDEN OF SAN DIMAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.