NPIMap

Organization Active NPI

The George G. Glenner Alzheimer'S Family Centers, Inc

  • Adult Day Care Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1942402375
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
THE GEORGE G. GLENNER ALZHEIMER'S FAMILY CENTERS, INC
Practice address
2765 Main Street, Suite a
Chula Vista, CA 91911
Phone
(619) 420-1703
Fax
(619) 420-0196
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Mr. Scott J Tarde, LNHA
Title
Chief Executive Officer/Executive D
Phone
(619) 543-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2765 Main Street, Suite a
Chula Vista, CA 91911

Mailing address

2765 Main Street, Suite a
Chula Vista, CA 91911
Phone (619) 543-4700

Other identifiers 1

IdentifierTypeStateIssuer
ADU70116FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
The George G Glenner Alzheimer'S Family Centers Inc4 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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1942402375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 MAIN STREET, SUITE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91911",
            "telephone_number": "619-543-4700",
            "fax_number": "619-295-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 MAIN STREET, SUITE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91911",
            "telephone_number": "619-420-1703",
            "fax_number": "619-420-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GEORGE G. GLENNER ALZHEIMER'S FAMILY CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "TARDE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/EXECUTIVE D",
        "authorized_official_telephone_number": "619-543-4700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70116F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.