Corona Care Convalescent Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

250000133 Issued in CA

Legal business name

CORONA CARE CONVALESCENT CORPORATION

Practice address

1400 East Circle City Drive
Corona, CA 92879-1642

Phone

(951) 735-0252

Fax

(951) 735-0751

NPI assigned

Nov 21, 2007

Last updated

Apr 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Renato Hilario Ferrer

Title

President

Phone

(626) 394-6403

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1760663454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EAST CIRCLE CITY DRIVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791642",
            "telephone_number": "951-735-0252",
            "fax_number": "951-735-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EAST CIRCLE CITY DRIVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791642",
            "telephone_number": "951-735-0252",
            "fax_number": "951-735-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA CARE CONVALESCENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "FERRER",
        "authorized_official_first_name": "RENATO",
        "authorized_official_middle_name": "HILARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-394-6403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "250000133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Cordoba
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• Corona Drug,Inc. (Corona Drug)
• Corona Family Care Inc.

• Skilled Nursing Facility in Corona, CA
• Providers in Corona, 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 Apr 4, 2014; 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.