Square Health, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SQUARE HEALTH, LLC

Doing business as

Fontana Adult Day Health Services

Practice address

17057 Foothill Blvd Ste 101
Fontana, CA 92335-3574

Phone

(626) 888-9580

NPI assigned

Aug 13, 2020

Last updated

Aug 13, 2020By 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

Yanan Liang

Title

Managing Partner

Phone

(626) 888-9580

Specialties & licenses 1

Addresses

Other names 1

• Fontana Adult Day Health Services Doing business as

Locations

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1972114890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W DUARTE RD # G-810",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17057 FOOTHILL BLVD STE 101",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353574",
            "telephone_number": "626-888-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "YANAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "626-888-9580"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fontana Adult Day Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Speaks
• Rebecca Spence Dobias
• Clairessa M Spencer, LCSW
• Kim L. Spencer, MD
• Marcia Spencer, LMFT
• Versha Kumari Srivastava, D.O.
• Patricia Grace Ssebakijje, BEHAVIOR TECHNICIAN
• St Mina Inc (St Mina pharmacy)
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• St. George Transportation Inc

• Adult Day Care Clinic/Center in Fontana, CA
• Providers in Fontana, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.