Cottage Care Homes, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COTTAGE CARE HOMES, LLC

Practice address

4089 Inverness Dr
Corona, CA 92883-0775

Phone

(949) 423-5220

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Tom Birkinbine

Title

Owner

Phone

(949) 423-5220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1205686755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 SHOALCREEK DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830724",
            "telephone_number": "949-423-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4089 INVERNESS DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830775",
            "telephone_number": "949-423-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE CARE HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "BIRKINBINE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-423-5220"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
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• Christy Cotner, FNP-C
• Cottage Care Homes Palms, LLC
• County of Riverside
• County of Riverside
• County of Riverside
• County of Riverside
• County of Riverside

• Assisted Living Facility in Corona, CA
• Providers in Corona, 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 Mar 26, 2024; 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.