Organization Active NPI

Regal Senior Living Corporation

  • Assisted Living Facility
  • West Covina, CA
National Provider Identifier
1790067676
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197607719 Issued in CA
Legal business name
REGAL SENIOR LIVING CORPORATION
Practice address
2929 S Citrus St
West Covina, CA 91791-3411
Phone
(626) 705-8021
Fax
(626) 339-8902
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Mrs. Ellen V Jones
Title
Ceo/Administrator
Phone
(626) 705-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197607719 CA Primary

Addresses

Primary practice location

2929 S Citrus St
West Covina, CA 91791-3411

Mailing address

1009 S Citrus St
West Covina, CA 91791-3403
Phone (626) 705-8021

National Provider Directory

National Provider Directory
Tax ID family
Regal Senior Living Corporation2 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": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1790067676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 S CITRUS ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913403",
            "telephone_number": "626-705-8021",
            "fax_number": "626-339-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S CITRUS ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913411",
            "telephone_number": "626-705-8021",
            "fax_number": "626-339-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL SENIOR LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "626-705-8021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197607719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.