Glen Park At Glendale - Mariposa St in Glendale - Assisted Living Facility
Glen Park At Glendale - Mariposa St - NPI 1417132812
Glen Park At Glendale - Mariposa St is a Assisted Living Facility in Glendale, California. Glen Park At Glendale - Mariposa St practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Glen Park At Glendale - Mariposa St is 1417132812. The last update date is 2015-01-08.
Glen Park At Glendale - Mariposa St's current location address is 1220 Mariposa St, Glendale, California. You can contact this provider via phone number 8182429000 and fax number 8182423972. The mailing address for Glen Park At Glendale - Mariposa St is 1220 Mariposa St, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glen Park At Glendale - Mariposa St |
|---|---|
| Address | 1220 Mariposa St, Glendale, California |
| Phone Number | 8182429000 |
| Fax Number | 8182423972 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pink Nmn Tillman |
| Telephone Number | 8182429000 |
NPI Number Detail
| NPI Number | 1417132812 |
|---|---|
| Provider Enumeration Date | 2008-01-03 |
| Last Updated Date | 2015-01-08 |
Provider Mailing Address Detail
| Address | 1220 Mariposa St |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912053245 |
| Phone Number | 8182429000 |
| Fax Number | 8182423972 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 191222675 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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What is the unique identifier code issued to Glen Park At Glendale - Mariposa St by the Centers for Medicare & Medicaid Services?
The Glen Park At Glendale - Mariposa St has been assigned the NPI (National Provider Identifier) 1417132812. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Glen Park At Glendale - Mariposa St located?
The Glen Park At Glendale - Mariposa St is located at 1220 Mariposa St, Glendale, CA 912053245.
What is the area of specialization for Glen Park At Glendale - Mariposa St, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glen Park At Glendale - Mariposa St is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of expertise is 310400000X.
On what date did Glen Park At Glendale - Mariposa St receive its 1417132812 assignment from the Centers for Medicare & Medicaid Services?
The Glen Park At Glendale - Mariposa St was assigned its 1417132812 on 2008-01-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Glen Park At Glendale - Mariposa St, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glen Park At Glendale - Mariposa St, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-08.
NPI Number: 1962405167
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