Healthcare Provider Details

I. General information

NPI: 1114833100
Provider Name (Legal Business Name): COZY ROSYS SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3709 KERN RD
CHINO CA
91710-2017
US

IV. Provider business mailing address

3989 PEPPERTREE LN
CHINO CA
91710-3075
US

V. Phone/Fax

Practice location:
  • Phone: 323-719-2851
  • Fax:
Mailing address:
  • Phone: 323-719-2851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHITAL PATEL
Title or Position: MANAGING MEMBER
Credential:
Phone: 323-719-2851