Kashamat Group LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KASHAMAT GROUP LLC

Practice address

7535 Bonnie St
San Bernardino, CA 92410-4121

Phone

(909) 884-3044

NPI assigned

Dec 22, 2023

Organization subpart

No

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

Authorized official

Name

Clodoveo Rillo Gosuico

Title

President

Phone

(909) 884-3044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1063281665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S MOUNTAIN VIEW AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081314",
            "telephone_number": "909-884-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 BONNIE ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924104121",
            "telephone_number": "909-884-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASHAMAT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "GOSUICO",
        "authorized_official_first_name": "CLODOVEO",
        "authorized_official_middle_name": "RILLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-884-3044"
    },
    "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 San Bernardino, CA
• Providers in San Bernardino, 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 Dec 22, 2023; 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.