OrganizationActive
Eagle Glen Care Home LLC
NPI 1710395777 · Assisted Living Facility · Corona, CA
Eagle Glen Care Home LLC is a Assisted Living Facility organization in Corona, CA (NPI 1710395777).
Provider details
- NPI number
- 1710395777
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Restituto Calilung, Licensee(714) 906-6046
- License
- 336426012 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1697 Honors Cir
Corona, CA 92883-0757
Phone: (951) 582-9230
Fax: (951) 340-2740
Street-level locationGet directions
Mailing address
1697 Honors Cir
Corona, CA 92883-0757
Registry dates
- Enumerated
- 2014-07-23
- Last updated
- 2014-07-23
Frequently asked questions
- What is Eagle Glen Care Home LLC's NPI number?
- Eagle Glen Care Home LLC's National Provider Identifier (NPI) is 1710395777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Glen Care Home LLC?
- Eagle Glen Care Home LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Eagle Glen Care Home LLC located?
- Eagle Glen Care Home LLC's practice location on file with NPPES is 1697 Honors Cir, Corona, CA 92883-0757.
- What is Eagle Glen Care Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Eagle Glen Care Home LLC is (951) 582-9230.
- Who is the authorized official for Eagle Glen Care Home LLC?
- The authorized official listed on Eagle Glen Care Home LLC's NPPES record is Restituto Calilung, Licensee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Glen Care Home LLC's NPI active?
- Yes — Eagle Glen Care Home LLC's NPI (1710395777) is active in the NPPES registry as of the last update on 2014-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.