Active NPI
Riverside Guest Home
- Assisted Living Facility
- Perris, CA
National Provider Identifier
1356619035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 336402244
- Legal business name
- RIVERSIDE GUEST HOME
- Practice address
- 18321 Wood Rd
Perris, CA 92570-7644 - Phone
- (951) 789-4143
- NPI assigned
- Dec 8, 2011
- 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
- Sally Dhahbi
- Title
- Licensee
- Phone
- (951) 789-4143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 336402244 | CA | Primary |
Addresses
Primary practice location
18321 Wood Rd
Perris, CA 92570-7644
Mailing address
18321 Wood Rd
Perris, CA 92570-7644
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323302400000",
"number": "1356619035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18321 WOOD RD",
"city": "PERRIS",
"state": "CA",
"postal_code": "925707644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18321 WOOD RD",
"city": "PERRIS",
"state": "CA",
"postal_code": "925707644",
"telephone_number": "951-789-4143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE GUEST HOME",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A",
"authorized_official_last_name": "DHAHBI",
"authorized_official_first_name": "SALLY",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "951-789-4143"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "336402244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perris, CA
- Daisy Elidia Rivera, PHARMD
- Milena A Rivera, MASSAGE THERAPIST
- Verenice M Rivera
- Riverside County Human Resources Department
- Riverside County Mental Health Dept.
- Riverside Recovery Resources
- Riverside Recovery Resources
- Riverside Recovery Resources
- Riverside Recovery Resources
- Riverside Recovery Resources
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.