Organization Active NPI

The Harvest Home LLC

  • Skilled Nursing Facility
  • Jurupa Valley, CA
National Provider Identifier
1619839941
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE HARVEST HOME LLC
Practice address
11915 Berlyn Dove CT
Jurupa Valley, CA 91752-2927
Phone
(951) 332-0421
Fax
(951) 332-0288
NPI assigned
Nov 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Simm Kesone Sanasinh, ADMINISTRATOR
Title
Owner
Phone
(949) 233-1645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

11915 Berlyn Dove CT
Jurupa Valley, CA 91752-2927

Mailing address

6885 Cedar Creek Rd
Eastvale, CA 92880-8805
Phone (951) 332-0421

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1619839941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 CEDAR CREEK RD",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808805",
            "telephone_number": "951-332-0421",
            "fax_number": "951-332-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 BERLYN DOVE CT",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917522927",
            "telephone_number": "951-332-0421",
            "fax_number": "951-332-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HARVEST HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "SANASINH",
        "authorized_official_first_name": "SIMM",
        "authorized_official_middle_name": "KESONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-233-1645",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jurupa Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.