Villa de Anza Holdings LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VILLA DE ANZA HOLDINGS LLC

Doing business as

Villa de Anza

Practice address

5881 El Palomino Dr
Riverside, CA 92509-7006

Phone

(951) 685-3333

Fax

(562) 278-0354

NPI assigned

Aug 16, 2022

Last updated

Aug 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Zenou

Title

Ceo

Phone

(951) 685-3333

Specialties & licenses 1

Addresses

Other names 1

• VILLA DE ANZA Doing business as

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1245958214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 EL PALOMINO DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925097006",
            "telephone_number": "951-685-3333",
            "fax_number": "562-278-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 EL PALOMINO DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925097006",
            "telephone_number": "951-685-3333",
            "fax_number": "562-278-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA DE ANZA HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "ZENOU",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-685-3333"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLA DE ANZA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Vigneault
• Vanisha Vij, PHARM.D
• McKenna Vilas
• Villa Anne
• Villa Convalescent Hospital Inc. (Villa Health Care Center)
• Diana Villa Flores
• Bernardo Villa Zetina
• Brenda Villa Zetina
• Angel Villa-Gonzalez
• Mario Villa-Gonzalez

• Assisted Living Facility in Riverside, CA
• Providers in Riverside, 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 Aug 16, 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.