Organization Active NPI

American Care Concept Corporation

  • Assisted Living Facility
  • Covina, CA
National Provider Identifier
1710239462
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197802105 Issued in CA
Legal business name
AMERICAN CARE CONCEPT CORPORATION
Practice address
1073 E Knollcrest Dr
Covina, CA 91724-3431
Phone
(626) 974-0084
Fax
(626) 967-1955
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Loida Z Barrientos
Title
Licensee
Phone
(626) 665-4453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197802105 CA Primary

Addresses

Primary practice location

1073 E Knollcrest Dr
Covina, CA 91724-3431

Mailing address

PO Box 572
Walnut, CA 91788-0572
Phone (626) 665-4453

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1710239462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917880572",
            "telephone_number": "626-665-4453",
            "fax_number": "626-967-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 E KNOLLCREST DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243431",
            "telephone_number": "626-974-0084",
            "fax_number": "626-967-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CARE CONCEPT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "BARRIENTOS",
        "authorized_official_first_name": "LOIDA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "626-665-4453"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197802105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.