GLEN PARK AT GLENDORA NPI 1922872266

NPI Information

  • NPI: 1922872266
  • Provider Name: GLEN PARK AT GLENDORA
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 452 SELLERS ST
    GLENDORA, CA
    ZIP 91741
  • Phone: (626) 594-0152

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NPI Details

GLEN PARK AT GLENDORA is an assisted living facility in Glendora, CA. The provider is 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. GLEN PARK AT GLENDORA NPI is 1922872266. The provider is registered as an organization entity type.

The provider's business location address is:

452 SELLERS ST
GLENDORA, CA
ZIP 91741-846
Phone: (626) 594-0152

The provider's authorized official is Tillman Pink .
The authorized official title is Ceo/president and has the following contact phone number (818) 590-9827.

The enumeration date for this NPI number is 11/7/2023 and was last updated on 11/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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