Aqua Bella Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AQUA BELLA RESIDENTIAL CARE

Practice address

14736 Willow Grove PL
Moreno Valley, CA 92555-5746

Phone

(909) 282-2316

NPI assigned

Oct 27, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Musarrat Zahid

Title

Owner/Administrator

Phone

(909) 282-2316

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Musarrat Khan

  • Nursing Home Administrator
  • Moreno Valley, CA
  • NPI 1902436058
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1003416371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14736 WILLOW GROVE PL",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555746",
            "telephone_number": "909-282-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14736 WILLOW GROVE PL",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555746",
            "telephone_number": "909-282-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA BELLA RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "ZAHID",
        "authorized_official_first_name": "MUSARRAT",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "909-282-2316"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.