Club Rancho Manor Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CLUB RANCHO MANOR INC

Practice address

3618 Club Rancho Dr
Palmdale, CA 93551-5652

Phone

(818) 332-6150

NPI assigned

Mar 27, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Jerome Dela Cruz Viray

Title

Licensee

Phone

(818) 332-6150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1154260693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 ERRINGER RD STE 106",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656527",
            "telephone_number": "818-332-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 CLUB RANCHO DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515652",
            "telephone_number": "818-332-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUB RANCHO MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "VIRAY",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "DELA CRUZ",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "818-332-6150",
        "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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• Assisted Living Facility in Palmdale, CA
• Providers in Palmdale, 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 Mar 27, 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.