DELLBROOK GUEST HOME (NPI# 1407457450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407457450 |
| Entity Type | Organization |
| Organization Name | DELLBROOK GUEST HOME |
| Practice Address |
13731 Dellbrook St Eastvale CA 92880-5521 |
| Practice Telephone | 9518475476 |
| Mailing Telephone | 9518475476 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | LESLEY VANNOY (ADMIN) |
| Authorized Official Telephone | 9518475476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDSS | 336425136 | 01 |
| Street Address |
13731 DELLBROOK ST |
| City | EASTVALE |
| State | CA |
| Zip Code | 92880-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| Find all providers in zip 92880 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395547 | Accuro Homes II | Custodial Care Facility | 13172 Early Crimson St, Eastvale, CA 92880-4609 | 2020-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274508 | Najeh Hamed | Custodial Care Facility | 5336 Bardwell Ave, Riverside, CA 92506-1517 | 2020-10-29 |
| 1912505868 | Majestic Senior Living Inc. | Custodial Care Facility | 25141 Highspring Ave, Newhall, CA 91321-3415 | 2020-10-13 |
| 1003413873 | Aury Mcdaniel | Custodial Care Facility | 1068 Camino Miel, Chula Vista, CA 91910-8712 | 2020-10-05 |
| 1407462104 | Good Samaritan Healing Center LLC | Custodial Care Facility | 229 S Chester Ave, Bakersfield, CA 93304-3648 | 2020-09-17 |
| 1245844174 | Robert Alexander Risinger | Custodial Care Facility | 3002 Freeborn St, Duarte, CA 91010-1507 | 2020-09-08 |
| 1720690217 | D&c Angels Home Care LLC | Custodial Care Facility | 1859 Shedden Dr, Loma Linda, CA 92354-1794 | 2020-08-18 |
| 1104464163 | Arveah's Care Homes, LLC | Custodial Care Facility | 45 E Ramsey Dr, Mountain House, CA 95391-8813 | 2019-12-20 |
| 1699310425 | Attentive Senior Care 11, LLC | Custodial Care Facility | 6149 E Lowe Ave, Fresno, CA 93727-5652 | 2019-11-15 |
| 1568003176 | Family First Residential Home | Custodial Care Facility | 5389 N Angus St, Fresno, CA 93710-7014 | 2019-10-04 |
| 1578104717 | Villa Ambrosia, Inc | Custodial Care Facility | 1537 Brighton Glen Rd, San Marcos, CA 92078-5495 | 2019-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.