Minona Garden LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MINONA GARDEN LLC

Practice address

22854 Minona Dr
Grand Terrace, CA 92313-5162

Phone

(909) 285-7878

NPI assigned

Nov 12, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Colunga

Title

Owner

Phone

(909) 285-7878

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1194685263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22854 MINONA DR",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135162",
            "telephone_number": "909-285-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22854 MINONA DR",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135162",
            "telephone_number": "909-285-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINONA GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "COLUNGA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-285-7878",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Meller
• Selyn Anika Quemuel Mendoza, A.A.
• Hosea Mercer
• Metro Anesthesia Group
• Mikaela Elyse Millican, PT, DPT
• Tracy Lynett Mitchell
• Pablo Mleziva, PHYSICAL THERAPIST
• Jack Montoya, MS
• Samantha Moore
• Alexandra Morla

• Assisted Living Facility in Grand Terrace, CA
• Providers in Grand Terrace, 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 Nov 12, 2025; 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.