Corona Residential Care Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CORONA RESIDENTIAL CARE CENTER LLC

Practice address

1400 Circle City Dr
Corona, CA 92879-1642

Phone

(951) 735-0252

NPI assigned

May 8, 2015

Organization subpart

No

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

Authorized official

Name

Aharon Striks

Title

Managing Member

Phone

(951) 782-4207

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1699153726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CIRCLE CITY DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791642",
            "telephone_number": "951-735-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CIRCLE CITY DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791642",
            "telephone_number": "951-735-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA RESIDENTIAL CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "STRIKS",
        "authorized_official_first_name": "AHARON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "951-782-4207"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT052551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corona Regional Cardiology and Ekg Panel
• Corona Regional Emergency Medical Associates Inc
• Corona Regional Medical Center (Hospice department)
• Corona Regional Medical Center
• Corona Regional Medical Center
• Corona Senior Manor LLC (New Horizons)
• Corona Sleep & Wellness, LLC
• Corona Summit Surgery Center
• Corona Summit Surgicenter, LLC (Corona Summit Surgical Center)
• Corona Superior Medicine, Inc.

• Assisted Living Facility in Corona, CA
• Providers in Corona, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.