Active NPI
KF Bella Vista LLC
- Skilled Nursing Facility
- Ontario, CA
National Provider Identifier
1174822241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryMember 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.