Marsha'S Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

366410296 Issued in CA

Legal business name

MARSHA'S MANOR

Practice address

14572 Nevada CT
Fontana, CA 92336-0808

Phone

(909) 987-7047

Fax

(909) 350-1709

NPI assigned

May 2, 2011

Organization subpart

No

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

Authorized official

Name

Oliver Jones Jr.

Title

Owner

Phone

(909) 987-7047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1184915696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14572 NEVADA CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360808",
            "telephone_number": "909-987-7047",
            "fax_number": "909-350-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14572 NEVADA CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360808",
            "telephone_number": "909-987-7047",
            "fax_number": "909-350-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHA'S MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-987-7047",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "366410296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Tiongson Marquez, LVN
• Marcus Marquez
• Maria Sheila Marquez, RN
• Anna Christina Marriott
• Renee Marriott
• Heather Noel Martin del Campo, M.D.
• Abigail Martin, R.PH
• Hannah Paulina Martin
• Martinez Family Chiropractic Inc.
• Miranda Leigha Martinez-Moad, DO

• Assisted Living Facility in Fontana, CA
• Providers in Fontana, 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 May 2, 2011; 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.