Active NPI
Macgrace LLC
- Home Health Agency
- Moreno Valley, CA
National Provider Identifier
1083567572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MACGRACE LLC
- Practice address
- 16109 Via Ultimo
Moreno Valley, CA 92551-1625 - Phone
- (951) 426-8765
- NPI assigned
- Feb 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Unwana Godwin Enoidem
- Title
- Ceo
- Phone
- (951) 426-8765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
16109 Via Ultimo
Moreno Valley, CA 92551-1625
Mailing address
16109 Via Ultimo
Moreno Valley, CA 92551-1625
Phone (951) 426-8765
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1083567572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16109 VIA ULTIMO",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925511625",
"telephone_number": "951-426-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16109 VIA ULTIMO",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925511625",
"telephone_number": "951-426-8765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACGRACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-16",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "ENOIDEM",
"authorized_official_first_name": "UNWANA",
"authorized_official_middle_name": "GODWIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "951-426-8765"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"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 Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.