Active NPI
Senior Hospitality Corporation
- Skilled Nursing Facility
- Moreno Valley, CA
National Provider Identifier
1326254863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SENIOR HOSPITALITY CORPORATION
- Practice address
- 26940 East Hospital Drive
Moreno Valley, CA 92555-4725 - Phone
- (951) 243-3837
- Fax
- (951) 485-2642
- NPI assigned
- May 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Phillip C Saucedo, MBA
- Title
- President
- Phone
- (951) 243-3837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
26940 East Hospital Drive
Moreno Valley, CA 92555-4725
Mailing address
11751 Davis St
Moreno Valley, CA 92557-6316
Phone (951) 243-3837
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285632000000",
"number": "1326254863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11751 DAVIS ST",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925576316",
"telephone_number": "951-243-3837",
"fax_number": "951-485-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26940 EAST HOSPITAL DRIVE",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925554725",
"telephone_number": "951-243-3837",
"fax_number": "951-485-2642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR HOSPITALITY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2010-09-28",
"status": "A",
"authorized_official_last_name": "SAUCEDO",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-243-3837",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing 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 Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.