Special Angels Group Facilities, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPECIAL ANGELS GROUP FACILITIES, INC

Practice address

1053 N Brierwood Ave
Rialto, CA 92376-3992

Phone

(909) 543-7604

Fax

(909) 961-2207

NPI assigned

Nov 23, 2020

Organization subpart

No

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

Authorized official

Name

Jazmin CollierNPI 1780287938

Title

Ceo/Administartor

Phone

(909) 543-7604

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jazmin Collier

  • Nursing Home Administrator
  • Rialto, CA
  • NPI 1780287938
  NPD Authorized official

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1386248193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 N BRIERWOOD AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763992",
            "telephone_number": "909-543-7604",
            "fax_number": "909-961-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 N BRIERWOOD AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763992",
            "telephone_number": "909-543-7604",
            "fax_number": "909-961-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL ANGELS GROUP FACILITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAZMIN",
        "authorized_official_title_or_position": "CEO/ADMINISTARTOR",
        "authorized_official_telephone_number": "909-543-7604"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Ruth Stewart, C.P.N.P.

• Assisted Living Facility in Rialto, CA
• Providers in Rialto, 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 Nov 23, 2020; 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.