SUMMERVILLE AT COBBCO, INC. (NPI# 1780913475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780913475 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE AT COBBCO, INC. |
| Other Organization Name | EMERITUS AT VILLA DE ANZA |
| Practice Address |
5881 El Palomino Dr Riverside CA 92509-7006 |
| Mailing Address |
3131 Elliott Ave Suite 500 Seattle WA 98121-1044 |
| Practice Telephone | 9516853333 |
| Practice Fax Number | 9516858453 |
| Mailing Telephone | 2062982909 |
| Mailing Fax Number | 2063014500 |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |
| Authorized Official Name | NOELLE DIAZ BICKEL (LICENSING SPECIALIST) |
| Authorized Official Telephone | 2062982909 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMERVILLE SENIOR LIVING, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 336402582 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Emeritus at Villa de Anza | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485016 | Summerville At Cobbco, Inc. | Assisted Living Facility | 13250 Philadelphia St, Whittier, CA 90601-4312 | 2019-12-27 |
| 1528398419 | Summerville At Cobbco, Inc. | Assisted Living Facility | 10615 Jordan Rd, Whittier, CA 90603-2932 | 2009-12-28 |
| 1376873257 | Summerville At Cobbco, Inc. | Custodial Care Facility | 426 Piedmont Ave, Glendale, CA 91206-3448 | 2009-12-28 |
| 1952631848 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5711 Reseda Blvd, Tarzana, CA 91356-2201 | 2009-12-28 |
| 1952631855 | Summerville At Cobbco, Inc. | Assisted Living Facility | 1031 N Euclid Ave, Ontario, CA 91762-1920 | 2009-12-28 |
| 1467781880 | Summerville At Cobbco, Inc. | Assisted Living Facility | 21000 Mission Blvd, Hayward, CA 94541-1817 | 2009-12-14 |
| 1578892980 | Summerville At Cobbco, Inc. | Custodial Care Facility | 13956 San Pablo Ave, San Pablo, CA 94806-5313 | 2009-12-14 |
| 1881923571 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5900 Chapman Ave, Garden Grove, CA 92845-1604 | 2009-12-09 |
| 1609105394 | Summerville At Cobbco, Inc. | Assisted Living Facility | 142 S Prospect St, Orange, CA 92869-3842 | 2009-12-09 |
| 1730418559 | Summerville At Cobbco, Inc. | Alzheimer Center (Dementia Center) | 3255 Villa Ln, Napa, CA 94558-3048 | 2009-12-08 |
| Street Address |
5881 EL PALOMINO DR |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92509-7006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in zip 92509 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280788 | Yenny M Vieyra Aviles | Assisted Living Facility | 3879 Lafayette St, Riverside, CA 92503-3821 | 2020-06-23 |
| 1326672973 | Blessed Elder Care Inc | Assisted Living Facility | 5041 Sierra St, Riverside, CA 92504-2260 | 2020-02-22 |
| 1518504786 | Faith Hope and Love Assisted Living, Inc. | Assisted Living Facility | 5505 Via San Jacinto, Riverside, CA 92506-3652 | 2019-12-05 |
| 1477037299 | California Home for The Adult Deaf | Assisted Living Facility | 3615 Crowell Ave, Riverside, CA 92504-3549 | 2018-09-18 |
| 1790265650 | Juan Cornell | Assisted Living Facility | 1622 Palermo Dr, Riverside, CA 92507-2393 | 2018-08-20 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1972029486 | Fern Home 1 LLC | Assisted Living Facility | 3875 Megginson Ln, Riverside, CA 92503-3425 | 2017-08-16 |
| 1255755237 | Caloaks Care Group Inc | Assisted Living Facility | 3891 Polk St, Riverside, CA 92505-1703 | 2014-02-11 |
| 1386965424 | Senior Focus Residential Care | Assisted Living Facility | 871 Via Mindi, Riverside, CA 92506-3642 | 2010-06-11 |
| 1528233392 | James L Webb Enterprises Inc | Assisted Living Facility | 3100 Nw Vivion Rd, Riverside, MO 64150-9436 | 2008-04-23 |
| Find all providers in RIVERSIDE | ||||
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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.