Our Countryside Resort

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OUR COUNTRYSIDE RESORT

Practice address

18111 Haines St
Perris, CA 92570-9251

Phone

(951) 657-3557

NPI assigned

Jan 3, 2025

Organization subpart

No

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

Authorized official

Name

Robert Ramos

Title

Licensee

Phone

(951) 657-3557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1386453389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 HAINES ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925709251",
            "telephone_number": "951-657-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 HAINES ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925709251",
            "telephone_number": "951-657-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR COUNTRYSIDE RESORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "951-657-3557"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexzie Orso
• Gian-Carlo Nino Resabal Ortanez
• Gabriella Angelica Ortiz-Alejos
• Marlene Fatima Ortiz
• Tatiana Osborne
• Rietta Lynne Overturf, PHD
• Karen Owens
• Noemi Padilla, M.A.
• Emmanuel Philip Antonio Padron, APCC, PPS
• Madison Page, DC

• Assisted Living Facility in Perris, CA
• Providers in Perris, 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 Jan 3, 2025; 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.