Organization Active NPI

Bella Cortina Residential Care

  • Assisted Living Facility
  • Moreno Valley, CA
National Provider Identifier
1073190112
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BELLA CORTINA RESIDENTIAL CARE
Practice address
28571 Yarow Way
Moreno Valley, CA 92555-6948
Phone
(909) 282-2319
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Authorized official

Name
Sana KhanNPI 1477255008
Title
Owner/Administrator
Phone
(951) 486-8060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

28571 Yarow Way
Moreno Valley, CA 92555-6948

Mailing address

28571 Yarow Way
Moreno Valley, CA 92555-6948
Phone (951) 486-8060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679184000000",
    "number": "1073190112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28571 YAROW WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556948",
            "telephone_number": "951-486-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28571 YAROW WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556948",
            "telephone_number": "909-282-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA CORTINA RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SANA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "951-486-8060"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.