1. Home
  2. Directory
  3. California
  4. Glendale
  5. Assisted Living Facility
  6. NPI Profile

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: August 23, 2026.

About Glen Park East NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN PARK EAST (NPI 1205082476) is a healthcare organization registered as an assisted living facility in Glendale, California and active in the NPI registry since August 2008. The organization lists Tillman Pink, President, as its authorized official.

NPPES Registry Identity

NPI1205082476
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGLEN PARK EAST
Location Address1250 BOYNTON STGlendale, CA 91205-3451
Mailing Address1220 Mariposa StGlendale, CA 91205-3254 · (818) 242-9000 · Fax (818) 242-3972
Phone(818) 246-9000
Fax(818) 246-1577
Organization SubpartNo
Authorized OfficialTillman PinkPresident · (818) 242-9000
Enumeration DateAugust 7, 2008
✔ NPI 1205082476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 191221691
Definition
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.
1250 BOYNTON ST, Glendale, CA 91205
Open in Google Maps ↗

Other Identifiers 1

MedicaidRCF00031FCA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Park East's NPI number?

The NPI number for Glen Park East is 1205082476. It was assigned to this organization in the NPPES registry on August 7, 2008.

Where is Glen Park East located?

Glen Park East is located at 1250 Boynton St, Glendale, CA 91205. The listed phone number is (818) 246-9000.

What is Glen Park East's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Glen Park East was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.