Organization Active NPI

Christian Heritage Care Center

  • Pediatric Skilled Nursing Facility
  • Upland, CA
National Provider Identifier
1508833666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
CHRISTIAN HERITAGE CARE CENTER
Practice address
275 Garnet Way
Upland, CA 91786-5932
Phone
(909) 949-4887
Fax
(909) 949-8476
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles V. Williams
Title
Chief Operating Officer
Phone
(909) 949-4887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X CA Primary

Addresses

Primary practice location

275 Garnet Way
Upland, CA 91786-5932

Mailing address

275 Garnet Way
Upland, CA 91786-5932
Phone (909) 949-4887

Other names 1

  • Sunset Haven Other name

National Provider Directory

National Provider Directory
Tax ID family
Christian Heritage Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508833666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GARNET WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865932",
            "telephone_number": "909-949-4887",
            "fax_number": "909-949-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GARNET WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865932",
            "telephone_number": "909-949-4887",
            "fax_number": "909-949-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HERITAGE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "909-949-4887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Haven",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.