Glen Park at Glendale - Mariposa St
NPI 1417132812 · Assisted Living Facility · Glendale, CA
Glen Park at Glendale - Mariposa St is a Assisted Living Facility organization in Glendale, CA (NPI 1417132812).
Provider details
- NPI number
- 1417132812
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tillman Pink, President(818) 242-9000
- License
- 191222675 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2008-01-03
- Last updated
- 2015-01-08
Frequently asked questions
- What is Glen Park at Glendale - Mariposa St's NPI number?
- Glen Park at Glendale - Mariposa St's National Provider Identifier (NPI) is 1417132812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glen Park at Glendale - Mariposa St?
- Glen Park at Glendale - Mariposa St is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Glen Park at Glendale - Mariposa St located?
- Glen Park at Glendale - Mariposa St's practice location on file with NPPES is 1220 Mariposa St, Glendale, CA 91205-3245.
- What is Glen Park at Glendale - Mariposa St's phone number?
- The practice phone number listed in the NPPES registry for Glen Park at Glendale - Mariposa St is (818) 242-9000.
- Who is the authorized official for Glen Park at Glendale - Mariposa St?
- The authorized official listed on Glen Park at Glendale - Mariposa St's NPPES record is Tillman Pink, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glen Park at Glendale - Mariposa St's NPI active?
- Yes — Glen Park at Glendale - Mariposa St's NPI (1417132812) is active in the NPPES registry as of the last update on 2015-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.