Active NPI
Angels Assisted Living
- Assisted Living Facility (Mental Illness)
- Fontana, CA
National Provider Identifier
1912357120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- ANGELS ASSISTED LIVING
- Practice address
- 8024 Redwood Ave
Fontana, CA 92336-1640 - Phone
- (909) 371-3966
- Fax
- (909) 371-3967
- NPI assigned
- Jun 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amelia D Aladin
- Title
- President
- Phone
- (909) 532-3623
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Primary | ||
| Custodial Care Facility | 311Z00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
8024 Redwood Ave
Fontana, CA 92336-1640
Mailing address
16627 Canyon Lake LN
Fontana, CA 92336-1239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366426788 | Other | CA | COMMUNITY CARE LICENSING |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Irvine, CA
- NPI 1740502665
-
- Primary Podiatric Medicine Podiatrist
- Pomona, CA
- NPI 1326138355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466208000000",
"number": "1912357120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16627 CANYON LAKE LN",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8024 REDWOOD AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361640",
"telephone_number": "909-371-3966",
"fax_number": "909-371-3967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELS ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-18",
"last_updated": "2016-06-18",
"status": "A",
"authorized_official_last_name": "ALADIN",
"authorized_official_first_name": "AMELIA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-532-3623",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CARE LICENSING",
"identifier": "366426788",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.