GLEN PARK EAST
NPI 1205082476
Assisted Living Facility in Glendale, CA

Active since August 07, 2008
1250 BOYNTON ST, GLENDALE, CA 91205(818) 246-9000(818) 246-1577 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About GLEN PARK EAST

This page provides the complete NPI Profile along with additional information for Glen Park East, a provider established in Glendale, California operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1205082476 assigned on August 2008. The practitioner's primary taxonomy code is 310400000X with license number 191221691 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Tillman Pink Jr. (President)

NPI
1205082476 Verify this NPI
Provider Name
GLEN PARK EAST
Entity Type
Organization
Location Address
1250 BOYNTON ST GLENDALE, CA 91205
Location Phone
(818) 246-9000
Location Fax
(818) 246-1577
Mailing Address
1220 MARIPOSA ST GLENDALE, CA 91205
Mailing Phone
(818) 242-9000
Mailing Fax
(818) 242-3972
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-07-2008
Last Update Date
08-07-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
191221691
License State
CA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TILLMAN PINK JR.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(818) 242-9000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
RCF00031FMEDICAID (05)CA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205082476, enumerated as an "organization" on August 07, 2008.

The provider is located at 1250 BOYNTON ST GLENDALE, CA 91205 and the phone number is (818) 246-9000.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.