Silverlake Senior Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SILVERLAKE SENIOR HOME

Practice address

6900 Wells Springs St
Eastvale, CA 91752-3713

Phone

(951) 847-5476

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Lesley Sihavong Vannoy

Title

Owner/Ceo

Phone

(951) 847-5476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1144965872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7056 ARCHIBALD AVE # 102-322",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808713",
            "telephone_number": "951-847-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 WELLS SPRINGS ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917523713",
            "telephone_number": "951-847-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERLAKE SENIOR HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "VANNOY",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "SIHAVONG",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "951-847-5476"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Eastvale, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.