Eastvale Congregate Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EASTVALE CONGREGATE CARE

Practice address

6764 Black Forest Dr
Eastvale, CA 92880-3922

Phone

(951) 268-2150

Fax

(951) 479-5260

NPI assigned

Aug 14, 2018

Last updated

Apr 27, 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

Ms. Lesley Sihavong VannoyNPI 1902540602

Title

Ceo/ Owner

Phone

(951) 847-5476

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lesley Sihavong Vannoy

  • Adult Care Home Facility
  • Eastvale, CA
  • NPI 1902540602
  Authorized official Same address or phone

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1285113845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6764 BLACK FOREST DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803922",
            "telephone_number": "951-268-2150",
            "fax_number": "951-479-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6764 BLACK FOREST DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803922",
            "telephone_number": "951-268-2150",
            "fax_number": "951-479-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTVALE CONGREGATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "VANNOY",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "SIHAVONG",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "951-847-5476",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Latisha Patel a Professional Optometric Corporation
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• Eastvale Academy Inc (Eastvale ADHC)
• Eastvale Adhc Inc.
• Eastvale Family Care Inc.
• Eastvale Senior Home Care, LLC
• Eastvale Senior Home Care, LLC
• Eastvale Urgent Care Inc
• Jackline Chelimo Ekai, RN

• Skilled Nursing Facility in Eastvale, CA
• Providers in Eastvale, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.