ARLINGTON GARDENS CARE CENTER (NPI# 1194197392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194197392 |
| Entity Type | Organization |
| Organization Name | ARLINGTON GARDENS CARE CENTER |
| Practice Address |
3688 Nye Ave Riverside CA 92505-1818 |
| Mailing Address |
Po Box 31001-2130 Pasadena CA 91110-2130 |
| Practice Telephone | 9513512800 |
| Practice Fax Number | 9513540272 |
| Mailing Telephone | 2134121973 |
| Mailing Fax Number | 2134121981 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | DR. JOHN HEYDT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
3688 NYE AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639672017 | Stephanie Nadine Wilkinson | Occupational Therapist | 3688 Nye Ave, Riverside, CA 92505-1818 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274508 | Najeh Hamed | Custodial Care Facility | 5336 Bardwell Ave, Riverside, CA 92506-1517 | 2020-10-29 |
| 1972901130 | Golden Years | Custodial Care Facility | 48a Hubbard Rd, Riverside, WA 98849-9650 | 2014-12-19 |
| 1205174802 | Ability Pathways Inc | Custodial Care Facility | 5290 Jones Ave, Riverside, CA 92505-1306 | 2013-01-17 |
| 1538307400 | Grand Enterprise Inc. | Custodial Care Facility | 8595 Philbin Ave, Riverside, CA 92503-1834 | 2009-01-29 |
| 1447404843 | Tracie Ann Bratcher | Custodial Care Facility | 8615 Lakeview Ave, Riverside, CA 92509-5915 | 2008-11-12 |
| 1093188492 | The Villa Health Care Center | Custodial Care Facility | 8965 Magnolia Ave, Riverside, CA 92503-4432 | 2015-11-06 |
| 1508238726 | The Grove Care and Wellness Center | Custodial Care Facility | 3401 Lemon St, Riverside, CA 92501-2861 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457450 | Dellbrook Guest Home | Custodial Care Facility | 13731 Dellbrook St, Eastvale, CA 92880-5521 | 2020-11-05 |
| 1891395547 | Accuro Homes II | Custodial Care Facility | 13172 Early Crimson St, Eastvale, CA 92880-4609 | 2020-10-30 |
| 1912505868 | Majestic Senior Living Inc. | Custodial Care Facility | 25141 Highspring Ave, Newhall, CA 91321-3415 | 2020-10-13 |
| 1003413873 | Aury Mcdaniel | Custodial Care Facility | 1068 Camino Miel, Chula Vista, CA 91910-8712 | 2020-10-05 |
| 1407462104 | Good Samaritan Healing Center LLC | Custodial Care Facility | 229 S Chester Ave, Bakersfield, CA 93304-3648 | 2020-09-17 |
| 1245844174 | Robert Alexander Risinger | Custodial Care Facility | 3002 Freeborn St, Duarte, CA 91010-1507 | 2020-09-08 |
| 1720690217 | D&c Angels Home Care LLC | Custodial Care Facility | 1859 Shedden Dr, Loma Linda, CA 92354-1794 | 2020-08-18 |
| 1104464163 | Arveah's Care Homes, LLC | Custodial Care Facility | 45 E Ramsey Dr, Mountain House, CA 95391-8813 | 2019-12-20 |
| 1699310425 | Attentive Senior Care 11, LLC | Custodial Care Facility | 6149 E Lowe Ave, Fresno, CA 93727-5652 | 2019-11-15 |
| 1568003176 | Family First Residential Home | Custodial Care Facility | 5389 N Angus St, Fresno, CA 93710-7014 | 2019-10-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.