Moonstone Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MOONSTONE CARE HOME LLC

Practice address

950 S Willow Ave
Rialto, CA 92376-7845

Phone

(619) 398-5169

NPI assigned

Sep 5, 2024

Last updated

Sep 5, 2024By 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

Arminda Beltran Lopez

Title

Ceo

Phone

(619) 398-5169

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1518792787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 MELROSE AVE UNIT 42",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116573",
            "telephone_number": "619-398-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S WILLOW AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767845",
            "telephone_number": "619-398-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ARMINDA",
        "authorized_official_middle_name": "BELTRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-398-5169"
    },
    "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 Rialto, CA
• Providers in Rialto, 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 Sep 5, 2024; 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.