Abria del Cielo

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

366425270 Issued in CA

Legal business name

ABRIA DEL CIELO

Practice address

1589 N Waterman Ave
San Bernardino, CA 92404-5106

Phone

(323) 605-8090

Fax

(909) 663-1024

NPI assigned

Sep 30, 2013

Last updated

Sep 30, 2013By 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

Edna Medrano

Title

Owner

Phone

(323) 605-8090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1952738445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045106",
            "telephone_number": "323-605-8090",
            "fax_number": "909-663-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045106",
            "telephone_number": "323-605-8090",
            "fax_number": "909-663-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRIA DEL CIELO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-605-8090"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "366425270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in San Bernardino, CA
• Providers in San Bernardino, 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 Sep 30, 2013; 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.