Organization Active NPI

Two Hearts Congregate Living Facility LLC

  • Skilled Nursing Facility
  • Moreno Valley, CA
National Provider Identifier
1689476186
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TWO HEARTS CONGREGATE LIVING FACILITY LLC
Practice address
27113 Quail Creek Dr
Moreno Valley, CA 92555-4521
Phone
(714) 600-5396
NPI assigned
Mar 25, 2025
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Jose Pineda
Title
Asst. Administrator
Phone
(562) 673-9704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

27113 Quail Creek Dr
Moreno Valley, CA 92555-4521

Mailing address

PO Box 295
Corona, CA 92878-0295

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2337145Two Heart Congregate Living Facility27113 Quail Creek Dr, Moreno Valley, CA 92555Certificate of waiverJan 15, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1689476186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928780295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27113 QUAIL CREEK DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554521",
            "telephone_number": "714-600-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO HEARTS CONGREGATE LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ASST. ADMINISTRATOR",
        "authorized_official_telephone_number": "562-673-9704"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.