Organization Active NPI

Congregate of Redlands

  • Skilled Nursing Facility
  • Redlands, CA
National Provider Identifier
1225820137
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CONGREGATE OF REDLANDS
Practice address
1230 W Cypress Ave
Redlands, CA 92373-5726
Phone
(840) 233-9545
NPI assigned
May 19, 2025
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Mr. Kelvin Mate
Title
Secretary
Phone
(840) 233-9545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1230 W Cypress Ave
Redlands, CA 92373-5726

Mailing address

1230 W Cypress Ave
Redlands, CA 92373-5726

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1225820137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W CYPRESS AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W CYPRESS AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735726",
            "telephone_number": "840-233-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGREGATE OF REDLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "MATE",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "840-233-9545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.