Individual provider Active NPI

Ghislaine Ramasar

  • Assisted Living Facility
  • Norco, CA
National Provider Identifier
1922582667
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
330905299 Issued in CA
Practice address
4460 Crestview Dr
Norco, CA 92860-1617
Phone
(951) 736-2921
Fax
(951) 736-1847
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 330905299 CA Primary

Addresses

Primary practice location

4460 Crestview Dr
Norco, CA 92860-1617

Mailing address

4460 Crestview Dr
Norco, CA 92860-1617
Phone (951) 736-2921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
330905299CAMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Crest Home for the Elderly CurrentSince Jan 26, 2020 Accepting new patients

Locations

4460 Crestview Dr
Norco, CA 92860
Phone (951) 736-2921

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1922582667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 CRESTVIEW DR",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601617",
            "telephone_number": "951-736-2921",
            "fax_number": "951-736-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 CRESTVIEW DR",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601617",
            "telephone_number": "951-736-2921",
            "fax_number": "951-736-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMASAR",
        "first_name": "GHISLAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "330905299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.