Organization Active NPI

Musarrate Khan Dba Case del Sol Residential

  • Assisted Living Facility
  • Moreno Valley, CA
National Provider Identifier
1265276448
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MUSARRATE KHAN DBA CASE DEL SOL RESIDENTIAL
Practice address
27830 Brodiaea Ave
Moreno Valley, CA 92555-7101
Phone
(909) 282-2316
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Mussarrat Khan
Title
Licensee
Phone
(909) 282-2316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

27830 Brodiaea Ave
Moreno Valley, CA 92555-7101

Mailing address

27830 Brodiaea Ave
Moreno Valley, CA 92555-7101
Phone (909) 282-2316

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1265276448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27830 BRODIAEA AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925557101",
            "telephone_number": "909-282-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27830 BRODIAEA AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925557101",
            "telephone_number": "909-282-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSARRATE KHAN DBA CASE DEL SOL RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUSSARRAT",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "909-282-2316"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.