Green River Congregate Living

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GREEN RIVER CONGREGATE LIVING

Practice address

2405 Independence Cir
Corona, CA 92882-5743

Phone

(702) 874-4484

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Patrick Bonaparte, MDNPI 1508260340

Title

Medical Director

Phone

(954) 803-0930

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Patrick Bonaparte, M.D.

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1508260340
  NPD Authorized official

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1427628759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 W ROYAL HUNTE DR STE 200A",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847204000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 INDEPENDENCE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825743",
            "telephone_number": "702-874-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER CONGREGATE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "BONAPARTE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-803-0930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508260340",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Comfort Homecare of California, Inc.
• Greater Corona Extended Care, Inc..
• Greater Corona Sleep Diagnostic Center
• Greater Corona Sleep Diagnostic Center
• Patricia Marie Greco, NP
• Green River Medical & Aesthetic Centre Inc.
• Arianna Green
• Raquel Green
• Tonsinetta D Green, LCSW
• Valencia Green

• Skilled Nursing Facility in Corona, CA
• Providers in Corona, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.