Golden Gardens Rcfe

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

374602987 Issued in CA

Legal business name

GOLDEN GARDENS RCFE

Practice address

725 Golden LN
Fallbrook, CA 92028-3447

Phone

(760) 645-3325

Fax

(760) 645-3635

NPI assigned

Aug 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David Christian McKinney, PH.D.

Title

Owner/Administrator/Licensee

Phone

(760) 645-3325

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1912452913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GOLDEN LN",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283447",
            "telephone_number": "760-645-3325",
            "fax_number": "760-645-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GOLDEN LN",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283447",
            "telephone_number": "760-645-3325",
            "fax_number": "760-645-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GARDENS RCFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR/LICENSEE",
        "authorized_official_telephone_number": "760-645-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "374602987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sandra Lee Graves, MFT

• Assisted Living Facility in Fallbrook, CA
• Providers in Fallbrook, 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 Aug 18, 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.