Provider Demographics
NPI:1992510846
Name:GARDEN GROVE OPERATIONS, LLC
Entity type:Organization
Organization Name:GARDEN GROVE OPERATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-857-3218
Mailing Address - Street 1:8202 FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3937
Mailing Address - Country:US
Mailing Address - Phone:562-450-1090
Mailing Address - Fax:
Practice Address - Street 1:5900 CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-1604
Practice Address - Country:US
Practice Address - Phone:714-898-3524
Practice Address - Fax:714-898-3524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility