Montclair Royale Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MONTCLAIR ROYALE SENIOR LIVING

Practice address

9685 Monte Vista Ave
Montclair, CA 91763-2233

Phone

(909) 621-3545

NPI assigned

Jan 18, 2017

Organization subpart

No

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

Authorized official

Name

Jimmy Tang

Title

Regional Director/Facility Manager

Phone

(323) 470-1677

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1548706245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 TIGER LN",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928704349",
            "telephone_number": "323-470-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 MONTE VISTA AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632233",
            "telephone_number": "909-621-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR ROYALE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR/FACILITY MANAGER",
        "authorized_official_telephone_number": "323-470-1677"
    },
    "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 Montclair, CA
• Providers in Montclair, 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 Jan 18, 2017; 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.