Organization Active NPI

Ember Care Corporation

  • Skilled Nursing Facility
  • Perris, CA
National Provider Identifier
1225046337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EMBER CARE CORPORATION
Practice address
2225 N Perris Blvd
Perris, CA 92571-2580
Phone
(951) 657-2135
Fax
(951) 657-6145
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joe Padre
Title
Director of Reimbursement
Phone
(818) 248-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

2225 N Perris Blvd
Perris, CA 92571-2580

Mailing address

2258 Foothill Blvd Ste 6
La Canada, CA 91011-1476
Phone (818) 248-9808

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06186GMedicaidCA

Other names 1

  • EMBER CARE HEALTH CENTER PERRIS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cypress Acres Convalescent Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225046337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 FOOTHILL BLVD STE 6",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111476",
            "telephone_number": "818-248-9808",
            "fax_number": "818-731-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N PERRIS BLVD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712580",
            "telephone_number": "951-657-2135",
            "fax_number": "951-657-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBER CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADRE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "818-248-9808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06186G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMBER CARE HEALTH CENTER PERRIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.