Corwin Kids Healthcare Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CORWIN KIDS HEALTHCARE INC

Doing business as

Corwin Congregate Living

Practice address

18747 Corwin Rd
Apple Valley, CA 92307-2303

Phone

(760) 242-5352

NPI assigned

Aug 26, 2016

Organization subpart

No

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

Authorized official

Name

Shelley Lopez

Title

President

Phone

(760) 242-5352

Specialties & licenses 2

Addresses

Other names 1

• CORWIN CONGREGATE LIVING Doing business as

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1740736198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18747 CORWIN RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18747 CORWIN RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072303",
            "telephone_number": "760-242-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORWIN KIDS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-5352"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORWIN CONGREGATE LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucia Coronel
• Carina Patricia Corp
• Juan Corral Jr.
• Cristina Angela Cortez
• Miranda Renee Cortez, MA, BCBA, LBA
• Corwin Medical Group Inc Ipa
• Corwin Urgent Care Center
• Tracy Catherine Cosmos
• Sheryl Anne Costa, AOD
• Amy Couch

• Skilled Nursing Facility in Apple Valley, CA
• Providers in Apple Valley, 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 Aug 26, 2016; 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.