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ROSE GARDEN RESIDENTIAL CARE
NPI 1790923753
Alzheimer Center (Dementia Center) in Mentone, CA

Active since January 29, 2009CLIA 05D2220525 · Waiver
1350 WABASH AVE, MENTONE, CA 92359(909) 794-1040(909) 794-6447 Get Directions Write a Review

NPPES record last updated: January 29, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Rose Garden Residential Care NPPES

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

ROSE GARDEN RESIDENTIAL CARE (NPI 1790923753) is a healthcare organization registered as an alzheimer center (dementia center) in Mentone, California and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Cathy Megert, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790923753
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameROSE GARDEN RESIDENTIAL CARE
Location Address1350 WABASH AVEMentone, CA 92359-1124
Mailing Address1350 Wabash AveMentone, CA 92359-1124 · (909) 794-1040 · Fax (909) 794-6447
Phone(909) 794-1040
Fax(909) 794-6447
Organization SubpartNo
Authorized OfficialCathy MegertAdministrator · (909) 794-1040
Enumeration DateJanuary 29, 2009
✔ NPI 1790923753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
License✔ Licensed in CA · 366402983
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
1350 WABASH AVE, Mentone, CA 92359
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2220525

Rose Garden Residential Care · Mentone, CA
Active · expires Apr 12, 2027
CLIA Number05D2220525
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorJun Chiong
Laboratory Phone(909) 794-1040
Laboratory LocationRose Garden Residential Care1350 Wabash Ave, Mentone, CA 92359
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAWRENCE LAMAR SMITH
Physical Therapy Assistant
1350 WABASH AVE
MENTONE, CA 92359
San Bernardino County (909) 492-4106
AHMED A SHAWAKHA
Physical Therapy Assistant
1350 WABASH AVE
MENTONE, CA 92359
San Bernardino County (909) 794-1040
PARADISE GARDENS MANOR LLC
Assisted Living Facility
1350 WABASH AVE
MENTONE, CA 92359
San Bernardino County (909) 794-1040
ROSE GARDEN RESIDENTIAL OPERATOR, LLC
Assisted Living Facility
1350 WABASH AVE
MENTONE, CA 92359
San Bernardino County (909) 794-1040

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 Rose Garden Residential Care's NPI number?

The NPI number for Rose Garden Residential Care is 1790923753. It was assigned to this organization in the NPPES registry on January 29, 2009.

Where is Rose Garden Residential Care located?

Rose Garden Residential Care is located at 1350 Wabash Ave, Mentone, CA 92359. The listed phone number is (909) 794-1040.

What is Rose Garden Residential Care's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Rose Garden Residential Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2220525) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rose Garden Residential Care was last updated on January 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.