Organization Active NPI

Aloha Residential Care LLC

  • Assisted Living Facility
  • Rancho Cucamonga, CA
National Provider Identifier
1104592914
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ALOHA RESIDENTIAL CARE LLC
Practice address
7476 Bungalow Way
Rancho Cucamonga, CA 91739-8868
Phone
(951) 675-7781
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Asmat Khan
Title
Owner
Phone
(951) 675-7781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7476 Bungalow Way
Rancho Cucamonga, CA 91739-8868

Mailing address

7476 Bungalow Way
Rancho Cucamonga, CA 91739-8868
Phone (951) 675-7781

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1104592914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7476 BUNGALOW WAY",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398868",
            "telephone_number": "951-675-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7476 BUNGALOW WAY",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398868",
            "telephone_number": "951-675-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOHA RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ASMAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-675-7781"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.