Organization Active NPI

Sequoia Health & Care Residence Congregate Care Home

  • Skilled Nursing Facility
  • Victorville, CA
National Provider Identifier
1083401665
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SEQUOIA HEALTH & CARE RESIDENCE CONGREGATE CARE HOME
Practice address
13361 Sequoia Rd
Victorville, CA 92392-9796
Phone
(310) 686-9676
NPI assigned
Apr 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Miss Jeannette Phillips, RN
Title
Ceo
Phone
(310) 686-9676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

13361 Sequoia Rd
Victorville, CA 92392-9796

Mailing address

13361 Sequoia Rd
Victorville, CA 92392-9796
Phone (310) 686-9676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1083401665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13361 SEQUOIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929796",
            "telephone_number": "310-686-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13361 SEQUOIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929796",
            "telephone_number": "310-686-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA HEALTH & CARE RESIDENCE CONGREGATE CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-686-9676",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.