Corona Care Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CORONA CARE HOME, INC.

Practice address

1664 Tamarron Dr
Corona, CA 92883-0762

Phone

(951) 339-9793

NPI assigned

Oct 28, 2022

Last updated

Oct 28, 2022By 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

Mr. Restituto Lumba Calilung

Title

Administrator

Phone

(714) 906-6046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1922715143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 TAMARRON DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830762",
            "telephone_number": "951-339-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 TAMARRON DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830762",
            "telephone_number": "951-339-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "CALILUNG",
        "authorized_official_first_name": "RESTITUTO",
        "authorized_official_middle_name": "LUMBA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-906-6046",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corona Dermatology Center Inc.
• Corona Drug,Inc. (Corona Drug)
• Corona Family Care Inc.
• Jaqueline Corona Godoy

• Assisted Living Facility in Corona, CA
• Providers in Corona, 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 Oct 28, 2022; 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.