Organization Active NPI

Macgrace LLC

  • Home Health Agency
  • Moreno Valley, CA
National Provider Identifier
1083567572
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Feb 16, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.