OrganizationActive
Lotus Villa Affiliate LLC
NPI 1639884687 · Assisted Living Facility · Fontana, CA
Lotus Villa Affiliate LLC is a Assisted Living Facility organization in Fontana, CA (NPI 1639884687).
Provider details
- NPI number
- 1639884687
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ezequiel Bercovich, Manager(213) 948-0913
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
9448 Citrus Ave
Fontana, CA 92335-5512
Phone: (909) 355-6887
Street-level locationGet directions
Mailing address
9448 Citrus Ave
Fontana, CA 92335-5512
Other names (DBA / former)
- Doing business as
- Lotus Villa and Memory Care
Registry dates
- Enumerated
- 2023-01-13
- Last updated
- 2023-01-13
- Certified
- 2023-01-13
Frequently asked questions
- What is Lotus Villa Affiliate LLC's NPI number?
- Lotus Villa Affiliate LLC's National Provider Identifier (NPI) is 1639884687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lotus Villa Affiliate LLC?
- Lotus Villa Affiliate LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Lotus Villa Affiliate LLC located?
- Lotus Villa Affiliate LLC's practice location on file with NPPES is 9448 Citrus Ave, Fontana, CA 92335-5512.
- What is Lotus Villa Affiliate LLC's phone number?
- The practice phone number listed in the NPPES registry for Lotus Villa Affiliate LLC is (909) 355-6887.
- Who is the authorized official for Lotus Villa Affiliate LLC?
- The authorized official listed on Lotus Villa Affiliate LLC's NPPES record is Ezequiel Bercovich, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lotus Villa Affiliate LLC's NPI active?
- Yes — Lotus Villa Affiliate LLC's NPI (1639884687) is active in the NPPES registry as of the last update on 2023-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.