Healthcare Provider Details

I. General information

NPI: 1871497073
Provider Name (Legal Business Name): 3RD G LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PONTE LOREN
LAKE ELSINORE CA
92532-0235
US

IV. Provider business mailing address

1 PONTE LOREN
LAKE ELSINORE CA
92532-0235
US

V. Phone/Fax

Practice location:
  • Phone: 310-782-5778
  • Fax:
Mailing address:
  • Phone: 310-782-5778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. RHONDA ROBINSON-BATISTE
Title or Position: ADMINISTRATOR/FOUNDER
Credential: EDD
Phone: 310-782-5778