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

MAGNOLIA GUEST HOME LLC
NPI 1245617620
Assisted Living Facility in Concord, CA

Active since May 05, 2015
1639 FAIRWOOD DR, CONCORD, CA 94521(925) 642-0427 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2019, Jul 13, 2016 (2 updates tracked since 2016).

About Magnolia Guest Home Llc NPPES

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

MAGNOLIA GUEST HOME LLC (NPI 1245617620) is a healthcare organization registered as an assisted living facility in Concord, California and active in the NPI registry since May 2015. The organization maintains 2 additional practice locations and lists Gene Lobaton Gepulle, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245617620
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAGNOLIA GUEST HOME LLC
Location Address1639 FAIRWOOD DRConcord, CA 94521
Mailing Address292 Royce WayPittsburg, CA 94565-4700 · (925) 427-9070
Phone(925) 642-0427
Organization SubpartNo
Authorized OfficialGene Lobaton GepulleAdministrator · (925) 642-0427
Enumeration DateMay 5, 2015
Last NPPES UpdateSeptember 13, 20192 updates tracked since enumeration
✔ NPI 1245617620 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 · 079200401
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.
1639 FAIRWOOD DR, Concord, CA 94521
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13006 Woodlawn DrWalnut Creek, CA 94597-2048 · Phone (925) 278-2927
Location 22448 Stanford WayAntioch, CA 94531-8263 · Phone (925) 642-0427

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 Magnolia Guest Home LLC's NPI number?

The NPI number for Magnolia Guest Home LLC is 1245617620. It was assigned to this organization in the NPPES registry on May 5, 2015.

Where is Magnolia Guest Home LLC located?

Magnolia Guest Home LLC is located at 1639 Fairwood Dr, Concord, CA 94521. The listed phone number is (925) 642-0427.

What is Magnolia Guest Home LLC'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 Magnolia Guest Home LLC was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.