Golden Cross Care Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

97000082 Issued in CA

Legal business name

GOLDEN CROSS CARE INC

Practice address

1450 N Fair Oaks Ave
Pasadena, CA 91103-1801

Phone

(626) 791-1948

Fax

(626) 791-9282

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Jose F Arevalo

Title

Administrator

Phone

(626) 791-1948

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden Cross Health Care Doing business as

Tax ID family

Cloverleaf Healthcare Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Golden Cross Care Inc

  • Skilled Nursing Facility
  • Hemet, CA
  • NPI 1326167453
  NPD tax ID

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972587772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031801",
            "telephone_number": "626-791-1948",
            "fax_number": "626-791-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031801",
            "telephone_number": "626-791-1948",
            "fax_number": "626-791-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CROSS CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AREVALO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-791-1948"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "97000082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55096H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Cross Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dov Bennett Gold, PSYD
• Samuel Gold
• Hope E Goldberg, PHD
• Merrie Judith Goldberg, LVN
• Robert Goldberg
• Golden State Anesthesia Consultants, Inc.
• Golden State Wound Care a Medical Corporation
• Dianne Benveniste Golden, LCSW
• Tania Goldenstein
• Ann Cecelia Goldin

• Nursing Facility/Intermediate Care Facility in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.