Active NPI
Regal Senior Living Corporation
- Assisted Living Facility
- West Covina, CA
National Provider Identifier
1790067676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 197607719
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care
- West Covina, CA
- NPI 1710217369
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.