JUAN CORNELL (NPI# 1790265650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790265650 |
| Entity Type | Individual |
| Full Name | JUAN CORNELL |
| Practice Address |
1622 Palermo Dr Riverside CA 92507-2393 |
| Practice Telephone | 5626854610 |
| Practice Fax Number | 9512136898 |
| Mailing Telephone | 5626854610 |
| Mailing Fax Number | 9512136898 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 336425651 | CA | Nursing & Custodial Care Facilities |
| Street Address |
1622 PALERMO DR |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-2393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
| 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 |
| 1780913475 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5881 El Palomino Dr, Riverside, CA 92509-7006 | 2009-12-09 |
| 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.