Provider Demographics
NPI:1184461865
Name:LOMBARDY SENIOR CARE LLC
Entity type:Organization
Organization Name:LOMBARDY SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RCFE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SOTERO
Authorized Official - Middle Name:CHANDLER
Authorized Official - Last Name:RAMAS
Authorized Official - Suffix:III
Authorized Official - Credentials:RCFE ADMINISTRATOR
Authorized Official - Phone:909-904-7931
Mailing Address - Street 1:4095 LOMBARDY AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-2159
Mailing Address - Country:US
Mailing Address - Phone:909-904-7931
Mailing Address - Fax:
Practice Address - Street 1:4095 LOMBARDY AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2159
Practice Address - Country:US
Practice Address - Phone:909-904-7931
Practice Address - Fax:909-752-5481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home