Organization Active NPI

Sundance Comfort Living Inc.

  • Assisted Living Facility
  • Cathedral City, CA
National Provider Identifier
1356093066
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUNDANCE COMFORT LIVING INC.
Practice address
68430 Risueno Rd
Cathedral City, CA 92234-8803
Phone
(626) 235-2988
NPI assigned
Jan 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Vanessa Ricchiazzi, LVN
Title
LVN Administrator
Phone
(626) 235-2988

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164X00000X
Community Based Hospice Care Agency 251G00000X
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

68430 Risueno Rd
Cathedral City, CA 92234-8803

Mailing address

1322 Alameda Ave
Glendale, CA 91201-1120
Phone (626) 235-2988

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1356093066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ALAMEDA AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011120",
            "telephone_number": "626-235-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68430 RISUENO RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922348803",
            "telephone_number": "626-235-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE COMFORT LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "RICCHIAZZI",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "LVN ADMINISTRATOR",
        "authorized_official_telephone_number": "626-235-2988",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.