Organization Active NPI

KF Bella Vista LLC

  • Skilled Nursing Facility
  • Ontario, CA
National Provider Identifier
1174822241
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KF BELLA VISTA LLC
Practice address
933 E Deodar St
Ontario, CA 91764-1309
Phone
(909) 985-2731
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Jacob Wintner
Title
Managing Member
Phone
(323) 651-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

933 E Deodar St
Ontario, CA 91764-1309

Mailing address

933 E Deodar St
Ontario, CA 91764-1309

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1174822241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 E DEODAR ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917641309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E DEODAR ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917641309",
            "telephone_number": "909-985-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KF BELLA VISTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "WINTNER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "323-651-1808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.