NPIMap

Organization Active NPI

Putters Lane Assisted Living

  • Adult Care Home Facility
  • Hemet, CA
National Provider Identifier
1912229949
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
336403275 Issued in CA
Legal business name
PUTTERS LANE ASSISTED LIVING
Doing business as
chicago hope assisted living
Practice address
43307 Putters LN
Hemet, CA 92544-5227
Phone
(951) 654-8423
Fax
(951) 927-0541
NPI assigned
Feb 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Ms. Karen Eileen Cocchiaro
Title
Owner/Administrator
Phone
(951) 654-8423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 336403275 CA Primary

Addresses

Primary practice location

43307 Putters LN
Hemet, CA 92544-5227

Mailing address

43307 Putters LN
Hemet, CA 92544-5227
Phone (951) 654-8423

Other names 1

  • chicago hope assisted living 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": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1912229949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43307 PUTTERS LN",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445227",
            "telephone_number": "951-654-8423",
            "fax_number": "951-927-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43307 PUTTERS LN",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445227",
            "telephone_number": "951-654-8423",
            "fax_number": "951-927-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTTERS LANE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "COCCHIARO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "951-654-8423",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "336403275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chicago hope assisted living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.