SUMMERVILLE AT COBBCO, INC. (NPI# 1407185127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407185127 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE AT COBBCO, INC. |
| Other Organization Name | EMERITUS AT GARDEN MANOR |
| Practice Address |
10200 Chapman Ave Garden Grove CA 92840-2858 |
| Practice Telephone | 7146366453 |
| Practice Fax Number | 7146360978 |
| Mailing Telephone | 7146366453 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | JOANNE LESKOWICZ (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 4149185000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOKDALE SENIOR LIVING INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 306000831 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Brookdale Garden Grove | Doing Business As Name - Organization |
| Emeritus at Garden Manor | 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 |
| 1376873257 | Summerville At Cobbco, Inc. | Custodial Care Facility | 426 Piedmont Ave, Glendale, CA 91206-3448 | 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 |
| Street Address |
10200 CHAPMAN AVE |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908271 | Sunita Chand | Assisted Living Facility | 9282 Blanche Ave, Garden Grove, CA 92841-3408 | 2020-09-29 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1245608058 | Westminster Villa | Assisted Living Facility | 13881 Dawson St, Garden Grove, CA 92843-3166 | 2015-09-10 |
| 1346646452 | Good Hands Home Care, LLC | Assisted Living Facility | 13092 Newland St, Garden Grove, CA 92844-1216 | 2014-11-17 |
| 1881923571 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5900 Chapman Ave, Garden Grove, CA 92845-1604 | 2009-12-09 |
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|---|---|---|---|---|
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| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
| 1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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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.