Active NPI
Magnolia Congregate Living Inc
- Skilled Nursing Facility
- Corona, CA
National Provider Identifier
1669334058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MAGNOLIA CONGREGATE LIVING INC
- Practice address
- 1572 Evergreen LN
Corona, CA 92879-3010 - Phone
- (562) 301-8792
- NPI assigned
- Nov 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cindy Le, NP
- Title
- Owner
- Phone
- (562) 301-8792
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1572 Evergreen LN
Corona, CA 92879-3010
Mailing address
1438 Strattford St
Brea, CA 92821-2169
Phone (951) 339-8190
National Provider Directory
National Provider Directory- Tax ID family
- Magnolia Congregate Living Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Corona, CA
- NPI 1811786825
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Los Angeles, CA
- NPI 1518373505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765756800000",
"number": "1669334058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 STRATTFORD ST",
"city": "BREA",
"state": "CA",
"postal_code": "928212169",
"telephone_number": "951-339-8190",
"fax_number": "951-339-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1572 EVERGREEN LN",
"city": "CORONA",
"state": "CA",
"postal_code": "928793010",
"telephone_number": "562-301-8792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA CONGREGATE LIVING INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-24",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-301-8792",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.