Foothill Grand Chateau Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FOOTHILL GRAND CHATEAU INC

Practice address

24746 Morning Mist Dr
Moreno Valley, CA 92557-3202

Phone

(951) 244-1958

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Julita Mendoza

Title

Administrator

Phone

(917) 601-0108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1992544134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24746 MORNING MIST DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925573202",
            "telephone_number": "951-244-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24746 MORNING MIST DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925573202",
            "telephone_number": "951-244-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL GRAND CHATEAU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JULITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "917-601-0108"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Moreno Valley, CA
• Providers in Moreno Valley, 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 May 20, 2024; 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.