Harrison Manor, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HARRISON MANOR, LLC

Practice address

4200 Harrison Canyon Road
San Bernardino, CA 92404

Phone

(818) 433-1696

Fax

(909) 335-2727

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Miss Ellee Posner

Title

Operations Manager

Phone

(818) 433-1696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1699423145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CAJON ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735904",
            "telephone_number": "818-433-1696",
            "fax_number": "909-335-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HARRISON CANYON ROAD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "818-433-1696",
            "fax_number": "909-335-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "POSNER",
        "authorized_official_first_name": "ELLEE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "818-433-1696",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Harris
• Gracie Evelyn Harris
• Michelle Harris
• Terry Michael Harris
• Tyler Anthony Harris
• Doris I. Harrison, R.D.H.
• Monique Harrison, MD
• Tristyn Harrison
• Walter Hugh Harrison
• Jalise Erin Hart

• Skilled Nursing Facility in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.