A and E Loving Senior Home, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

A AND E LOVING SENIOR HOME, INC

Practice address

14931 Oak Spring Dr
Fontana, CA 92336-5537

Phone

(805) 404-3934

NPI assigned

Feb 22, 2021

Last updated

Feb 22, 2021By 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

Eva Sosnovsky

Title

Administrator

Phone

(805) 404-3934

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1841884863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 DAWNVIEW AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671001",
            "telephone_number": "805-404-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14931 OAK SPRING DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365537",
            "telephone_number": "805-404-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A AND E LOVING SENIOR HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "SOSNOVSKY",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-404-3934"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hubchart.com",
            "affiliation": "N",
            "endpointDescription": "Cloud base EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3113 Dawnview Ave",
            "city": "Pomona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917671001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Fontana, CA
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• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.