Mama Angelina Coconocho LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAMA ANGELINA COCONOCHO LLC

Practice address

862 Pike Dr
Hemet, CA 92544-7823

Phone

(951) 335-1239

Fax

(951) 305-6884

NPI assigned

Oct 6, 2025

Last updated

Oct 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Rosario Gonzalez, ADMINISTRATORNPI 1841053618

Title

Ceo

Phone

(951) 335-1239

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, and the practitioner matching its NPPES authorized official.

• Maria Rosario Gonzalez, RCFE ADMINISTRATOR

  • Personal Care Attendant
  • Hemet, CA
  • NPI 1841053618
  NPD Authorized official

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1467326058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 PIKE DR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925447823",
            "telephone_number": "951-335-1239",
            "fax_number": "951-305-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 PIKE DR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925447823",
            "telephone_number": "951-335-1239",
            "fax_number": "951-305-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA ANGELINA COCONOCHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA ROSARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-335-1239",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hemet, CA
• Providers in Hemet, 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 Oct 6, 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.