SUMMERVILLE AT COBBCO, INC. (NPI# 1376873257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376873257 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE AT COBBCO, INC. |
| Other Organization Name | BROOKDALE GLENDALE |
| Practice Address |
426 Piedmont Ave Glendale CA 91206-3448 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 8182467457 |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER) |
| Authorized Official Telephone | 6155648183 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
197602411 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEVELOPOMENTAL DISABILITY - FRANK D LANTERMAN REGIONAL CENTER | 1376873257 | 01 |
| Other Name | Type Code |
|---|---|
| Brookdale Glendale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485016 | Summerville At Cobbco, Inc. | Assisted Living Facility | 13250 Philadelphia St, Whittier, CA 90601-4312 | 2019-12-27 |
| 1528398419 | Summerville At Cobbco, Inc. | Assisted Living Facility | 10615 Jordan Rd, Whittier, CA 90603-2932 | 2009-12-28 |
| 1952631848 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5711 Reseda Blvd, Tarzana, CA 91356-2201 | 2009-12-28 |
| 1952631855 | Summerville At Cobbco, Inc. | Assisted Living Facility | 1031 N Euclid Ave, Ontario, CA 91762-1920 | 2009-12-28 |
| 1467781880 | Summerville At Cobbco, Inc. | Assisted Living Facility | 21000 Mission Blvd, Hayward, CA 94541-1817 | 2009-12-14 |
| 1578892980 | Summerville At Cobbco, Inc. | Custodial Care Facility | 13956 San Pablo Ave, San Pablo, CA 94806-5313 | 2009-12-14 |
| 1881923571 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5900 Chapman Ave, Garden Grove, CA 92845-1604 | 2009-12-09 |
| 1609105394 | Summerville At Cobbco, Inc. | Assisted Living Facility | 142 S Prospect St, Orange, CA 92869-3842 | 2009-12-09 |
| 1780913475 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5881 El Palomino Dr, Riverside, CA 92509-7006 | 2009-12-09 |
| 1730418559 | Summerville At Cobbco, Inc. | Alzheimer Center (Dementia Center) | 3255 Villa Ln, Napa, CA 94558-3048 | 2009-12-08 |
| Street Address |
426 PIEDMONT AVE |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| 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 |
|---|---|---|---|---|
| 1467051508 | Lifes Journey LLC | Custodial Care Facility | 7591 N 85th Dr, Glendale, AZ 85305-3982 | 2020-10-20 |
| 1639524598 | Verdant Seniors Place LLC | Custodial Care Facility | 8207 W Nicolet Ave, Glendale, AZ 85303-1822 | 2016-04-28 |
| 1588052583 | Loving Sisters Caregiving Service LLC | Custodial Care Facility | 12727 W Glendale Ave Lot 101, Glendale, AZ 85307-2425 | 2014-12-30 |
| 1003189853 | Adriana's Round-the-clock LLC | Custodial Care Facility | 7630 W John Cabot Rd, Glendale, AZ 85308-8231 | 2012-02-09 |
| 1164606620 | Vineyard Adult Care Home | Custodial Care Facility | 4415 W Carol Ave, Glendale, AZ 85302-3814 | 2007-12-19 |
| 1578764049 | Jolley Family Assisted Living Home II | Custodial Care Facility | 5042 N 86th Dr, Glendale, AZ 85305-3313 | 2007-05-30 |
| 1619185071 | Alert Adult Care Inc. | Custodial Care Facility | 10247 W Missouri Ave, Glendale, AZ 85307-4300 | 2007-05-18 |
| 1770645335 | Miriam's Adult Care Home | Custodial Care Facility | 6426 W Del Mar Ln, Glendale, AZ 85306-3138 | 2006-12-13 |
| 1689661639 | The Harbor Lighthouse Care Home II | Custodial Care Facility | 4142 W Grovers Ave, Glendale, AZ 85308-2926 | 2005-10-04 |
| 1306833355 | The Harbor Lighthouse | Custodial Care Facility | 5940 W Pershing Ave, Glendale, AZ 85304-1123 | 2005-10-04 |
| Find all providers in GLENDALE | ||||
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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.