Paradise Springs for the Elderly

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARADISE SPRINGS FOR THE ELDERLY

Doing business as

Paradise Springs for the Elderly 1

Practice address

9225 Banyan St
Rancho Cucamonga, CA 91737-2802

Phone

(909) 222-2380

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By 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

Faryal Khan

Title

Corporate Representative

Phone

(909) 222-2380

Specialties & licenses 1

Addresses

Other names 1

• Paradise Springs for the Elderly 1 Doing business as

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1891513685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 BANYAN ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917372802",
            "telephone_number": "909-222-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 BANYAN ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917372802",
            "telephone_number": "909-222-2380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8568 Baker Ave",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304240",
            "country_code": "US",
            "telephone_number": "909-222-2380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADISE SPRINGS FOR THE ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARYAL",
        "authorized_official_title_or_position": "CORPORATE REPRESENTATIVE",
        "authorized_official_telephone_number": "909-222-2380"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Springs for the Elderly 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Sep 30, 2024; 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.