Gabriela Care Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GABRIELA CARE HOME, INC.

Practice address

1717 Tamarron Dr
Corona, CA 92883-0765

Phone

(951) 427-3631

Fax

(951) 547-1369

NPI assigned

Feb 20, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Restituto Lumba Calilung

Title

Administrator

Phone

(714) 906-6046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1124585658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 TAMARRON DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830765",
            "telephone_number": "951-427-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 TAMARRON DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830765",
            "telephone_number": "951-427-3631",
            "fax_number": "951-547-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELA CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "CALILUNG",
        "authorized_official_first_name": "RESTITUTO",
        "authorized_official_middle_name": "LUMBA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-906-6046",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.