Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Life Legacy, LLC

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1639597677

Green Life Legacy, LLC is an Intellectual Disabilities Intermediate Care Facility in Claremont, California. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

633 E Baseline Rd
Claremont, CA 91711-2270
Phone: (951) 570-0749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X

Record details

NPI number1639597677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evelyn Mugar — Administrator · (951) 570-0749
NPI enumeratedApril 6, 2014
Last updated in NPPESApril 6, 2014
Mailing address633 E Baseline Rd, Claremont, CA 91711-2270

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