Healthcare Provider Details

I. General information

NPI: 1053218271
Provider Name (Legal Business Name): THE GARDENS OF MODESTO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2026
Last Update Date: 10/21/2026
Certification Date: 10/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 ST PAULS WAY
MODESTO CA
95355-3309
US

IV. Provider business mailing address

5967 W 3RD ST STE 360
LOS ANGELES CA
90036-2890
US

V. Phone/Fax

Practice location:
  • Phone: 209-491-0800
  • Fax:
Mailing address:
  • Phone: 323-217-7877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: SHLOMO ARON
Title or Position: LLC MEMER
Credential:
Phone: 323-217-7877