NPIMap

Organization Active NPI

Dellbrook Guest Home II

  • Adult Care Home Facility
  • Eastvale, CA
National Provider Identifier
1205567799
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
DELLBROOK GUEST HOME II
Practice address
7121 Mackinaw CT
Eastvale, CA 91752-1492
Phone
(951) 847-5476
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Lesley VannoyNPI 1902540602
Title
Admin
Phone
(951) 847-5476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

7121 Mackinaw CT
Eastvale, CA 91752-1492

Mailing address

7121 Mackinaw CT
Eastvale, CA 91752-1492
Phone (951) 847-5476

National Provider Directory

National Provider Directory
Tax ID family
Dellbrook Guest Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1205567799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 MACKINAW CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917521492",
            "telephone_number": "951-847-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 MACKINAW CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917521492",
            "telephone_number": "951-847-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELLBROOK GUEST HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "VANNOY",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "951-847-5476"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.