PRRK HOLDINGS LLC NPI 1255610986

NPI Information

  • NPI: 1255610986
  • Provider Name: PRRK HOLDINGS LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: CORONADO RETIREMENT VILLAGE
  • Address: 299 PROSPECT PLACE
    CORONADO, CA
    ZIP 92118
  • Phone: (619) 437-1777

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NPI Details

PRRK HOLDINGS LLC is an assisted living facility in Coronado, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PRRK HOLDINGS LLC NPI is 1255610986. The provider is registered as an organization entity type.
The provider Is Doing Business As Coronado Retirement Village.

The provider's business location address is:

299 PROSPECT PLACE
CORONADO, CA
ZIP 92118-967
Phone: (619) 437-1777
Fax: (619) 554-1245

The provider's authorized official is Rajni Kharbanda .
The authorized official title is Executive Director and has the following contact phone number (949) 395-2378.

The enumeration date for this NPI number is 8/11/2011 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility197608139CALIFORNIANo
2310400000XAssisted Living FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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