Organization Active NPI

Living Health Community

  • Nursing Facility/Intermediate Care Facility
  • San Jacinto, CA
National Provider Identifier
1962973180
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
LIVING HEALTH COMMUNITY
Practice address
699 Winners Cir
San Jacinto, CA 92582-2741
Phone
(951) 487-3815
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Ma Satchel Lecita
Title
Administrator
Phone
(888) 488-2702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

699 Winners Cir
San Jacinto, CA 92582-2741

Mailing address

699 Winners Cir
San Jacinto, CA 92582-2741
Phone (951) 487-3815

Other identifiers 1

IdentifierTypeStateIssuer
05D2127615OtherCACLR00350613

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1962973180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 WINNERS CIR",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925822741",
            "telephone_number": "951-487-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 WINNERS CIR",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925822741",
            "telephone_number": "951-487-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HEALTH COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "LECITA",
        "authorized_official_first_name": "MA SATCHEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "888-488-2702"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLR00350613",
            "identifier": "05D2127615",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.