Hamner Congregate Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HAMNER CONGREGATE CARE

Practice address

7121 Mackinaw CT
Eastvale, CA 91752-1492

Phone

(951) 847-5476

Fax

(951) 363-3200

NPI assigned

Jan 6, 2025

Organization subpart

No

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

Authorized official

Name

Lesley S Vannoy, OWNER

Title

Ceo/Owner

Phone

(951) 847-5476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1013726801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7056 ARCHIBALD AVE STE 102-322",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808713",
            "telephone_number": "951-847-5476",
            "fax_number": "951-363-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 MACKINAW CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917521492",
            "telephone_number": "951-847-5476",
            "fax_number": "951-363-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMNER CONGREGATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "VANNOY",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "951-847-5476",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Eastvale, CA
• Providers in Eastvale, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.