NPIMap

Organization Active NPI

Sunset Haven

  • Skilled Nursing Facility
  • Upland, CA
National Provider Identifier
1750447140
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
240000465 Issued in CA
Legal business name
SUNSET HAVEN
Practice address
275 Garnet Way
Upland, CA 91786-5932
Phone
(909) 949-4887
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Lois Mastrocola
Title
Chief Financial Officer
Phone
(714) 241-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 240000465 CA Primary

Addresses

Primary practice location

275 Garnet Way
Upland, CA 91786-5932

Mailing address

275 Garnet Way
Upland, CA 91786-5932
Phone (909) 949-4887

Other identifiers 1

IdentifierTypeStateIssuer
LTC55514FMedicaidCA

Other names 1

  • Christian Heritage Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christian Heritage Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1750447140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GARNET WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865932",
            "telephone_number": "909-949-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GARNET WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865932",
            "telephone_number": "909-949-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MASTROCOLA",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-241-5600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "240000465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55514F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Heritage Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.