Avery Garden Senior Care Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AVERY GARDEN SENIOR CARE HOME, INC.

Practice address

26600 Ironwood Ave
Moreno Valley, CA 92555-1716

Phone

(818) 515-9279

Fax

(951) 946-9151

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Linda Thomas

Title

Owner- President

Phone

(818) 515-9279

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1750980835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 STONEGATE DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928805540",
            "telephone_number": "818-515-9279",
            "fax_number": "951-946-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26600 IRONWOOD AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925551716",
            "telephone_number": "818-515-9279",
            "fax_number": "951-946-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY GARDEN SENIOR CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER- PRESIDENT",
        "authorized_official_telephone_number": "818-515-9279"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7751Stonegate",
            "affiliation": "N",
            "address_1": "7751 Stonegate Dr",
            "city": "Eastvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928805540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taryn Auberry
• Samantha Aubrey
• Raj Augustine, PH.D.
• Alison Christene Austin, D.D.S.
• Andrea Kim Austin
• Sherry L Avery
• Dulce Avila de la Rosa
• Carol Avila-Barba
• Fernando H Avila Jr.
• Analibya Jaser Awad

• Assisted Living Facility in Moreno Valley, CA
• Providers in Moreno Valley, 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 Oct 21, 2020; 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.