CORONA CONGREGATE CARE
NPI 1467197103
Skilled Nursing Facility in Eastvale, CA

Active since April 27, 2022CLIA 05D2296405 · Waiver
7890 VANDEWATER ST, EASTVALE, CA 92880(951) 847-5476 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Corona Congregate Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORONA CONGREGATE CARE (NPI 1467197103) is a healthcare organization registered as a skilled nursing facility in Eastvale, California and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through December 26, 2027 and lists Lesley Sihavong Vannoy, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1467197103
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCORONA CONGREGATE CARE
Location Address7890 VANDEWATER STEastvale, CA 92880-5514
Mailing Address7056 Archibald Ave # 102-322Eastvale, CA 92880-8713 · (951) 847-5476
Organization SubpartNo
Authorized OfficialLesley Sihavong VannoyOwner/ceo · (951) 847-5476
Enumeration DateApril 27, 2022
NPPES CertifiedApril 27, 2022
NPI 1467197103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
7890 VANDEWATER ST, Eastvale, CA 92880

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2296405

Corona Congregate · Eastvale, CA
Active · expires Dec 26, 2027
CLIA Number05D2296405
Laboratory TypeCongregate Living Hlth
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorPeter Matar
Laboratory Phone(951) 415-1120
Laboratory LocationCorona Congregate7890 Vanderwater St, Eastvale, CA 92880
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corona Congregate Care's NPI number?

The NPI number for Corona Congregate Care is 1467197103. It was assigned to this organization in the NPPES registry on April 27, 2022.

Where is Corona Congregate Care located?

Corona Congregate Care is located at 7890 Vandewater St, Eastvale, CA 92880. The listed phone number is (951) 847-5476.

What is Corona Congregate Care's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Corona Congregate Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2296405) is associated with this NPI, valid through December 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Corona Congregate Care was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.