Individual provider Active NPI

Najeh Hamed

  • Adult Care Home Facility
  • Riverside, CA
National Provider Identifier
1689274508
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
331800199 Issued in CA
Practice address
5336 Bardwell Ave
Riverside, CA 92506-1517
Phone
(786) 219-6008
NPI assigned
Oct 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 331800199 CA Primary

Addresses

Primary practice location

5336 Bardwell Ave
Riverside, CA 92506-1517

Mailing address

5336 Bardwell Ave
Riverside, CA 92506-1517
Phone (786) 219-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
331800199CAMDAdult Care Home Facility

Practice roles

OrganizationSpecialtyStatusNew patients
California Manor Guest Home Current Accepting new patients
Bardwells Pines Manor LLC CurrentSince Aug 6, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1689274508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 BARDWELL AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061517",
            "telephone_number": "786-219-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 BARDWELL AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061517",
            "telephone_number": "786-219-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMED",
        "first_name": "NAJEH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "331800199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.