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Broadwater Bella Vista Care Center, LLC

Skilled Nursing Facility in Ontario, CA · enumerated 2007 · authorized official Douglas Easton, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679616528

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Registry record

Entity type Organization (Type 2)
Legal business name Broadwater Bella Vista Care Center, LLC
Other name <Unavail>
Practice address 933 E Deodar St, Ontario, CA, 91764
Phone (909) 985-2731
Fax (909) 985-1414
Enumeration date Feb 14, 2007
Last updated in NPPES Jun 9, 2008

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 240000113 (CA) Primary

Authorized official

Name Douglas Easton
Title Manager
Phone (818) 368-1862

Other identifiers

Identifier Type State Issuer
1679616528 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Broadwater Bella Vista Care Center, LLC?
The NPI for Broadwater Bella Vista Care Center, LLC is 1679616528, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Broadwater Bella Vista Care Center, LLC?
NPPES lists Douglas Easton (Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-09.