Active NPI
Two Hearts Congregate Living Facility LLC
- Skilled Nursing Facility
- Moreno Valley, CA
National Provider Identifier
1689476186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 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
- Jose Pineda
- Title
- Asst. Administrator
- Phone
- (562) 673-9704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2337145 | Two Heart Congregate Living Facility | Certificate of waiver | Jan 15, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.