OrganizationActive
Fontana Healthcare, LLC
NPI 1114096120 · Skilled Nursing Facility · Fontana, CA
Fontana Healthcare, LLC is a Skilled Nursing Facility organization in Fontana, CA (NPI 1114096120).
Provider details
- NPI number
- 1114096120
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jeoung Lee, President Ceo(805) 494-1233
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17933 San Bernardino Ave
Fontana, CA 92335-6151
Phone: (909) 877-1555
Street-level locationGet directions
Mailing address
250 Fairview Rd
Thousand Oaks, CA 91361-2456
Other names (DBA / former)
- Doing business as
- Casa Maria Healthcare Center
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Fontana Healthcare, LLC's NPI number?
- Fontana Healthcare, LLC's National Provider Identifier (NPI) is 1114096120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fontana Healthcare, LLC?
- Fontana Healthcare, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Fontana Healthcare, LLC located?
- Fontana Healthcare, LLC's practice location on file with NPPES is 17933 San Bernardino Ave, Fontana, CA 92335-6151.
- What is Fontana Healthcare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fontana Healthcare, LLC is (909) 877-1555.
- Who is the authorized official for Fontana Healthcare, LLC?
- The authorized official listed on Fontana Healthcare, LLC's NPPES record is Jeoung Lee, President Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fontana Healthcare, LLC's NPI active?
- Yes — Fontana Healthcare, LLC's NPI (1114096120) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.