Organization Active NPI

Faith Hope and Love Assisted Living, Inc.

  • Assisted Living Facility
  • Riverside, CA
National Provider Identifier
1518504786
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FAITH HOPE AND LOVE ASSISTED LIVING, INC.
Practice address
5505 Via San Jacinto
Riverside, CA 92506-3652
Phone
(909) 263-7875
Fax
(951) 781-7535
NPI assigned
Dec 5, 2019
Last updated
Dec 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Brian Concannon
Title
President
Phone
(909) 263-7875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5505 Via San Jacinto
Riverside, CA 92506-3652

Mailing address

5505 Via San Jacinto
Riverside, CA 92506-3652
Phone (909) 263-7875

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1518504786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 VIA SAN JACINTO",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063652",
            "telephone_number": "909-263-7875",
            "fax_number": "951-781-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 VIA SAN JACINTO",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063652",
            "telephone_number": "909-263-7875",
            "fax_number": "951-781-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOPE AND LOVE ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "CONCANNON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-263-7875"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.