Organization Active NPI

Chateau Belle

  • Skilled Nursing Facility
  • Fontana, CA
National Provider Identifier
1639629074
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHATEAU BELLE
Practice address
15016 Arrow Blvd
Fontana, CA 92335-3153
Phone
(909) 717-9856
Fax
(909) 371-0733
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Mr. Michael Demetri Winchester, N/A
Title
Ceo
Phone
(909) 717-9856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

15016 Arrow Blvd
Fontana, CA 92335-3153

Mailing address

15016 Arrow Blvd
Fontana, CA 92335-3153
Phone (909) 717-9856

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1639629074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15016 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353153",
            "telephone_number": "909-717-9856",
            "fax_number": "909-371-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15016 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353153",
            "telephone_number": "909-717-9856",
            "fax_number": "909-371-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATEAU BELLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "WINCHESTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEMETRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-717-9856",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.