Organization Active NPI

Beresell LLC

  • Assisted Living Facility
  • Moreno Valley, CA
National Provider Identifier
1063201796
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BERESELL LLC
Practice address
22598 Moralia Dr
Moreno Valley, CA 92557-2673
Phone
(909) 964-8977
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Berenice Yanez
Title
Licensee
Phone
(909) 964-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

22598 Moralia Dr
Moreno Valley, CA 92557-2673

Mailing address

22598 Moralia Dr
Moreno Valley, CA 92557-2673
Phone (909) 964-8977

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1063201796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22598 MORALIA DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572673",
            "telephone_number": "909-964-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22598 MORALIA DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572673",
            "telephone_number": "909-964-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERESELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "YANEZ",
        "authorized_official_first_name": "BERENICE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "909-964-8977"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.