Active NPI
Christian Heritage Care Center
- Pediatric Skilled Nursing Facility
- Upland, CA
National Provider Identifier
1508833666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Christian Heritage Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Upland, CA
- NPI 1750447140
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.