Lotus Villa Affiliate LLC
NPI 1639884687ActiveOrganization· Assisted Living Facility· Fontana, CA
Assisted Living Facility in Fontana, California, registered in NPPES in January 2023. The authorized official on file is Ezequiel Bercovich, Manager.
Overview
| NPI | 1639884687 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2023 |
| Last updated in NPPES | Jan 13, 2023 |
| Certified by provider | Jan 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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