Dove Tree Manor, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DOVE TREE MANOR, INC.

Practice address

3991 Dove Tree Ave
Rialto, CA 92377-3584

Phone

(909) 441-7891

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Eva Sosnovsky

Title

Administrator

Phone

(805) 404-3934

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1922690288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 DAWNVIEW AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671001",
            "telephone_number": "805-404-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 DOVE TREE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923773584",
            "telephone_number": "909-441-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE TREE MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "SOSNOVSKY",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-404-3934"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hubchart.com",
            "affiliation": "N",
            "endpointDescription": "Cloud base EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3991 Dove Tree Ave",
            "city": "Rialto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923773584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hubchart.com",
            "affiliation": "N",
            "endpointDescription": "Cloud base EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3113 Dawnview Ave",
            "city": "Pomona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917671001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Rialto, CA
• Providers in Rialto, 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 Feb 8, 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.