Organization Active NPI

Elna Crisostomo Vilaflor Dba Banner Ridge County Home

  • Assisted Living Facility
  • Diamond Bar, CA
National Provider Identifier
1649017526
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ELNA CRISOSTOMO VILAFLOR DBA BANNER RIDGE COUNTY HOME
Practice address
1006 Banner Ridge Rd
Diamond Bar, CA 91765-2301
Phone
(909) 240-1899
NPI assigned
Jul 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Elna Vilaflor
Title
Licensee
Phone
(909) 240-1899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1006 Banner Ridge Rd
Diamond Bar, CA 91765-2301

Mailing address

1006 Banner Ridge Rd
Diamond Bar, CA 91765-2301
Phone (909) 240-1899

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1649017526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 BANNER RIDGE RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652301",
            "telephone_number": "909-240-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 BANNER RIDGE RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652301",
            "telephone_number": "909-240-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELNA CRISOSTOMO VILAFLOR DBA BANNER RIDGE COUNTY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "VILAFLOR",
        "authorized_official_first_name": "ELNA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "909-240-1899"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.