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

GLEN PARK AT LONG BEACH
NPI 1932584505
Assisted Living Facility in Long Beach, CA

Active since July 24, 2015
1046 E 4TH ST, LONG BEACH, CA 90802(562) 432-7468(562) 432-1425 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glen Park At Long Beach NPPES

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

GLEN PARK AT LONG BEACH (NPI 1932584505) is a healthcare organization registered as an assisted living facility in Long Beach, California and active in the NPI registry since July 2015. The organization lists Tillman Pink, President, as its authorized official.

NPPES Registry Identity

NPI1932584505
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGLEN PARK AT LONG BEACH
Location Address1046 E 4TH STLong Beach, CA 90802-1634
Mailing Address1220 Mariposa StGlendale, CA 91205-3254 · (818) 242-9000 · Fax (818) 242-3972
Phone(562) 432-7468
Fax(562) 432-1425
Organization SubpartNo
Authorized OfficialTillman PinkPresident · (818) 242-9000
Enumeration DateJuly 24, 2015
✔ NPI 1932584505 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 · 198602134
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.
1046 E 4TH ST, Long Beach, CA 90802
Open in Google Maps ↗

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 At Long Beach's NPI number?

The NPI number for Glen Park At Long Beach is 1932584505. It was assigned to this organization in the NPPES registry on July 24, 2015.

Where is Glen Park At Long Beach located?

Glen Park At Long Beach is located at 1046 E 4th St, Long Beach, CA 90802. The listed phone number is (562) 432-7468.

What is Glen Park At Long Beach'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 At Long Beach was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.