Gardenside Eldercare, LLC
NPI 1063791713 · Physical Disabilities Residential Treatment Facility · Fortuna, CA
Gardenside Eldercare, LLC is a Physical Disabilities Residential Treatment Facility organization in Fortuna, CA (NPI 1063791713).
Provider details
- NPI number
- 1063791713
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Trina Keller, Member(707) 725-7873
- License
- 126802046 (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-12
- Last updated
- 2011-08-12
Frequently asked questions
- What is Gardenside Eldercare, LLC's NPI number?
- Gardenside Eldercare, LLC's National Provider Identifier (NPI) is 1063791713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gardenside Eldercare, LLC?
- Gardenside Eldercare, LLC is classified in the NPPES registry as Physical Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Gardenside Eldercare, LLC located?
- Gardenside Eldercare, LLC's practice location on file with NPPES is 529 9th Street, Fortuna, CA 95540.
- What is Gardenside Eldercare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Gardenside Eldercare, LLC is (707) 725-7873.
- Who is the authorized official for Gardenside Eldercare, LLC?
- The authorized official listed on Gardenside Eldercare, LLC's NPPES record is Trina Keller, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gardenside Eldercare, LLC's NPI active?
- Yes — Gardenside Eldercare, LLC's NPI (1063791713) is active in the NPPES registry as of the last update on 2011-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.