Organization Active NPI

Legacy of Love Residence LLC

  • Nursing Facility/Intermediate Care Facility
  • Fontana, CA
National Provider Identifier
1811805047
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
LEGACY OF LOVE RESIDENCE LLC
Practice address
6819 Sunridge CT
Fontana, CA 92336-1420
Phone
(909) 833-1077
NPI assigned
Aug 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Authorized official

Name
Isabelle R Wilcox, FNP-C
Title
Owner /Adminstrator/ Don
Phone
(909) 833-1077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

6819 Sunridge CT
Fontana, CA 92336-1420

Mailing address

6819 Sunridge CT
Fontana, CA 92336-1420
Phone (909) 833-1077

NPI Registry JSON

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

{
    "created_epoch": "1787961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1811805047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 SUNRIDGE CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361420",
            "telephone_number": "909-833-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 SUNRIDGE CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361420",
            "telephone_number": "909-833-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY OF LOVE RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-29",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER /ADMINSTRATOR/ DON",
        "authorized_official_telephone_number": "909-833-1077",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.