Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fontana Healthcare, LLC

Organization Skilled Nursing Facility · NPI 1114096120

Fontana Healthcare, LLC is a Skilled Nursing Facility in Fontana, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17933 San Bernardino Ave
Fontana, CA 92335-6151
Phone: (909) 877-1555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X (CA)

Record details

NPI number1114096120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeoung Lee — President Ceo · (805) 494-1233
Other names Casa Maria Healthcare Center
NPI enumeratedNovember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address250 Fairview Rd, Thousand Oaks, CA 91361-2456

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