Parkside Mansion Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

336426284 Issued in CA

Legal business name

PARKSIDE MANSION ASSISTED LIVING

Practice address

2789 Rafferty Rd
Hemet, CA 92545-3630

Phone

(951) 929-8880

Fax

(951) 392-2247

NPI assigned

Oct 2, 2015

Last updated

Oct 2, 2015By 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

Julie Ablanida

Title

Owner

Phone

(951) 473-0590

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1316317480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2789 RAFFERTY RD",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453630",
            "telephone_number": "951-929-8880",
            "fax_number": "951-392-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 RAFFERTY RD",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453630",
            "telephone_number": "951-929-8880",
            "fax_number": "951-392-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE MANSION ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "ABLANIDA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-473-0590"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336426284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel Parker
• Linda Joyce Parker, BA SOCIAL WORK
• Rachel Anne Parker, PA-C
• Willie Parker
• Parkside Healthcare LLC
• Justin Partovi
• Holly Dean Pascoe
• Patel Dental Corp, (Smile Shop)
• Aastha Ketan Patel, DO
• Astha Vimal Patel, DMD

• Assisted Living Facility in Hemet, CA
• Providers in Hemet, 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 Oct 2, 2015; 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.