CORONA CARE CONVALESCENT CORPORATION (NPI# 1760663454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760663454 |
| Entity Type | Organization |
| Organization Name | CORONA CARE CONVALESCENT CORPORATION |
| Practice Address |
1400 East Circle City Drive Corona CA 92879-1642 |
| Practice Telephone | 9517350252 |
| Practice Fax Number | 9517350751 |
| Mailing Telephone | 9517350252 |
| Mailing Fax Number | 9517350751 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2014-04-04 |
| Authorized Official Name | MR. RENATO HILARIO FERRER (PRESIDENT) |
| Authorized Official Telephone | 6263946403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 250000133 | CA | Nursing & Custodial Care Facilities |
| Street Address |
1400 EAST CIRCLE CITY DRIVE |
| City | CORONA |
| State | CA |
| Zip Code | 92879-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649292863 | Pleasant Care Corporation | Skilled Nursing Facility | 1400 Circle City Dr, Corona, CA 92879-1642 | 2006-07-24 |
| 1356389761 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 2600 S Main St, Corona, CA 92882-5941 | 2006-06-04 |
| 1437145109 | Uhs Corona Inc | Skilled Nursing Facility | 730 Magnolia Ave, Corona, CA 92879-3117 | 2005-09-27 |
| 1427593938 | Corona Post Acute LLC | Skilled Nursing Facility | 2600 S Main St, Corona, CA 92882-5941 | 2016-12-20 |
| 1952789091 | Corona Care LLC | Skilled Nursing Facility | 1400 Circle City Dr, Corona, CA 92879-1642 | 2015-05-08 |
| 1528228152 | Vista Cove Care Center At Corona, Inc. | Skilled Nursing Facility | 2600 S Main St, Corona, CA 92882-5941 | 2008-06-17 |
| 1376734434 | Leisure Homes Inc | Skilled Nursing Facility | 1400 Circle City Dr, Corona, CA 92879-1642 | 2007-08-05 |
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| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
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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.