Healthcare Provider Details

I. General information

NPI: 1003746264
Provider Name (Legal Business Name): GOLDEN HORIZON LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1518 S EUCLID AVE
ONTARIO CA
91762-5821
US

IV. Provider business mailing address

1518 S EUCLID AVE
ONTARIO CA
91762-5821
US

V. Phone/Fax

Practice location:
  • Phone: 909-218-7417
  • Fax:
Mailing address:
  • Phone:
  • 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: EBRAHEEM H HAMED
Title or Position: OWNER
Credential:
Phone: 786-564-3771