El Descanso Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EL DESCANSO RETIREMENT HOME

Practice address

21020 E Cienega Ave
Covina, CA 91724-1413

Phone

(626) 383-2413

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Clemencia Bousheri

Title

Administrator/Owner

Phone

(626) 383-2413

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1831774835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21020 E CIENEGA AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241413",
            "telephone_number": "626-383-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21020 E CIENEGA AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241413",
            "telephone_number": "626-383-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DESCANSO RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "BOUSHERI",
        "authorized_official_first_name": "CLEMENCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "626-383-2413"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Covina, CA
• Providers in Covina, 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 Mar 11, 2021; 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.