Organization Active NPI

Sheraton Villa

  • Assisted Living Facility
  • West Covina, CA
National Provider Identifier
1881922573
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHERATON VILLA
Practice address
824 W Cameron Ave
West Covina, CA 91790-4136
Phone
(626) 962-3511
Fax
(626) 962-3514
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Rosie Millan
Title
Administrator
Phone
(626) 962-3511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

824 W Cameron Ave
West Covina, CA 91790-4136

Mailing address

824 W Cameron Ave
West Covina, CA 91790-4136
Phone (626) 962-3511

Other names 1

  • Country View Retirement Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1881922573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904136",
            "telephone_number": "626-962-3511",
            "fax_number": "626-962-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904136",
            "telephone_number": "626-962-3511",
            "fax_number": "626-962-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERATON VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "MILLAN",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-962-3511"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country View Retirement Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 18, 2009; 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.