Ilocos Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ILOCOS CORPORATION

Practice address

34153 Albacete Ave
Murrieta, CA 92563-4489

Phone

(951) 553-6324

Fax

(951) 894-7504

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Agnes Martinez

Title

Administrator

Phone

(951) 553-6324

Specialties & licenses 1

Addresses

Other names 1

• CROWN MANOR II Doing business as

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1295511574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26561 LIDO DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634099",
            "telephone_number": "858-243-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34153 ALBACETE AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634489",
            "telephone_number": "951-553-6324",
            "fax_number": "951-894-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILOCOS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-03",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-553-6324"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROWN MANOR II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Murrieta, CA
• Providers in Murrieta, 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 Sep 4, 2023; 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.