Garden of Eden Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GARDEN OF EDEN SENIOR LIVING LLC

Doing business as

Garden of Eden Senior Living

Practice address

5711 Reinhold St
Fair Oaks, CA 95628-2726

Phone

(916) 884-7598

Fax

(916) 884-7598

NPI assigned

Sep 23, 2021

Organization subpart

No

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

Authorized official

Name

Hugh Marshall

Title

Administrator

Phone

(916) 884-7598

Specialties & licenses 1

Addresses

Other names 1

• Garden of Eden Senior Living Doing business as

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1912678582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 REINHOLD ST",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282726",
            "telephone_number": "916-884-7598",
            "fax_number": "916-884-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 REINHOLD ST",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282726",
            "telephone_number": "916-884-7598",
            "fax_number": "916-884-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN OF EDEN SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-884-7598"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden of Eden Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fair Oaks, CA
• Providers in Fair Oaks, 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 Sep 23, 2021; 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.