Sta Clara Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STA CLARA INC

Practice address

817 S Oaks Avenue
Ontario, CA 91762-4733

Phone

(909) 638-8871

NPI assigned

Nov 24, 2020

Organization subpart

No

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

Authorized official

Name

Richie Buenaventura Garcia

Title

Licensee, Administrator

Phone

(909) 638-8871

Specialties & licenses 1

Addresses

Other names 1

• Best Care Guest Home Doing business as

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1891399499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S OAKS AVENUE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917624733",
            "telephone_number": "909-638-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S OAKS AVENUE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917624733",
            "telephone_number": "909-638-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STA CLARA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "RICHIE",
        "authorized_official_middle_name": "BUENAVENTURA",
        "authorized_official_title_or_position": "LICENSEE, ADMINISTRATOR",
        "authorized_official_telephone_number": "909-638-8871"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Care Guest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Ontario, CA
• Providers in Ontario, 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 Nov 24, 2020; 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.