Bardwells Pines Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BARDWELLS PINES MANOR LLC

Practice address

5336 Bardwell Ave
Riverside, CA 92506-1517

Phone

(786) 219-6008

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Najeh HamedNPI 1689274508

Title

Owner

Phone

(786) 219-6008

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Najeh Hamed

  • Adult Care Home Facility
  • Riverside, CA
  • NPI 1689274508
  NPD Authorized official
• Jamal Shalabi

  • Adult Care Home Facility
  • Corona, CA
  • NPI 1477212793
  NPD

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1134800238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16511 CADENCE LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 BARDWELL AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061517",
            "telephone_number": "786-219-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDWELLS PINES MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "HAMED",
        "authorized_official_first_name": "NAJEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-219-6008"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma C Barbosa
• Geena Barbu
• Haroldo Barcelo
• Jeffrey Thomas Barczak, D.O.
• Angelica Barden
• Stephanie Barendregt
• Amber Barfield
• Aneesah Bari, AMFT
• Nicole Baril, MD
• Nathan Barile

• Assisted Living Facility in Riverside, CA
• Providers in Riverside, 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 Jul 31, 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.