Active NPI
Villa Assisted Living, Inc.
- Assisted Living Facility
- Eastvale, CA
National Provider Identifier
1972161446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- VILLA ASSISTED LIVING, INC.
- Practice address
- 6683 Leanne St
Eastvale, CA 91752-3479 - Phone
- (909) 332-0311
- NPI assigned
- May 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabriella Torres
- Title
- Ceo
- Phone
- (909) 332-0311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
6683 Leanne St
Eastvale, CA 91752-3479
Mailing address
6683 Leanne St
Eastvale, CA 91752-3479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331800490 | Other | CA | RCFE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | seniorassistedliving@consultant.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Villa Assisted Living Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Villa Descanso De Amor
- Assisted Living Facility
- Chino Hills, CA
- NPI 1629779467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559174400000",
"number": "1972161446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6683 LEANNE ST",
"city": "EASTVALE",
"state": "CA",
"postal_code": "917523479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6683 LEANNE ST",
"city": "EASTVALE",
"state": "CA",
"postal_code": "917523479",
"telephone_number": "909-332-0311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLA ASSISTED LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "GABRIELLA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-332-0311"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RCFE LICENSE",
"identifier": "331800490",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "seniorassistedliving@consultant.com",
"affiliation": "N",
"endpointDescription": "facility e-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "html",
"address_1": "6683 Leanne St",
"city": "Eastvale",
"state": "CA",
"country_code": "US",
"postal_code": "917523479",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eastvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.