# 1450 NORTH FAIR OAKS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Cross Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669775326
- **Authorized official:** DR. JOSEMAR MERCADO (MANAGING MEMBER)
- **Authorized official phone:** (626) 305-0281

## Contact information

- **Practice address:** 1450 N FAIR OAKS AVE, PASADENA, CA 91103-1801
- **Practice address phone:** (626) 791-1948
- **Practice address fax:** (626) 791-9282
- **Mailing address:** 1450 N FAIR OAKS AVE, PASADENA, CA 91103-1801
- **Mailing address phone:** (626) 791-1948
- **Mailing address fax:** (626) 791-9282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000082 | CA | Yes |

## Other

- **Enumeration date:** 12/17/2010
- **Last updated:** 12/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55096H | — | CA |