Cortland Congregate, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CORTLAND CONGREGATE, LLC

Practice address

1637 El Nido Ave
Perris, CA 92571-3700

Phone

(951) 404-0531

Fax

(951) 465-4594

NPI assigned

Sep 8, 2025

Organization subpart

No

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

Authorized official

Name

Adam Cortland Green

Title

Owner

Phone

(949) 397-0658

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1851272801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 EL NIDO AVE",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713700",
            "telephone_number": "951-404-0531",
            "fax_number": "951-465-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 EL NIDO AVE",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713700",
            "telephone_number": "951-404-0531",
            "fax_number": "951-465-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND CONGREGATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "CORTLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-397-0658"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sindy C Copeland, LCSW
• Araceli Cordero East, HCO, MA,
• Yajaira V Coreas
• Lucina Cornejo
• Sara Renee Corona
• Carlos Alexis Corza Duarte Jr.
• County of Riverisde
• County of Riverside
• County of Riverside
• County of Riverside

• Skilled Nursing Facility in Perris, CA
• Providers in Perris, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.