Villa Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VILLA ASSISTED LIVING INC

Doing business as

Villa Descanso De Amor

Practice address

15453 Elm LN
Chino Hills, CA 91709-2929

Phone

(909) 332-0311

NPI assigned

Mar 16, 2023

Last updated

Mar 16, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

VILLA DESCANSO DE AMORAs reported in NPPES

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

Authorized official

Name

Gabriela Diaz Thompson

Title

Ceo

Phone

(909) 332-0311

Specialties & licenses 1

Addresses

Other names 1

• Villa Descanso De Amor Doing business as

Tax ID family

Villa Assisted Living Inc2 organizations share this tax ID, including this one

Part of

Villa Assisted Living Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Villa Assisted Living, Inc.

  • Assisted Living Facility
  • Eastvale, CA
  • NPI 1972161446
  NPD tax ID

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1629779467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6683 LEANNE ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917523479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15453 ELM LN",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092929",
            "telephone_number": "909-332-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA ASSISTED LIVING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLA DESCANSO DE AMOR",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-332-0311"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Descanso De Amor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Vazquez
• Abigail Mercado Velasquez, FNP
• Amanda Vera
• Vicrumdeep S Tung MD Inc
• Ashley Vidaurri
• Aaron-John Villon
• Victoria Vongkaysone
• Stephanie Vrabel, LMFT
• VST Medical
• Hoang T Vu, PHARM.D.

• Assisted Living Facility in Chino Hills, CA
• Providers in Chino Hills, 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 Mar 16, 2023; 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.