Active NPI
Ace Congregate Living Health Facility
- Skilled Nursing Facility
- Moreno Valley, CA
National Provider Identifier
1114830395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ACE CONGREGATE LIVING HEALTH FACILITY
- Practice address
- 23293 Montalvo Rd
Moreno Valley, CA 92557-3514 - Phone
- (909) 268-4181
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 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
- Charity C Ezeamama, PA-C
- Title
- Administrator
- Phone
- (909) 268-4181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
23293 Montalvo Rd
Moreno Valley, CA 92557-3514
Mailing address
23293 Montalvo Rd
Moreno Valley, CA 92557-3514
Phone (909) 268-4181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1114830395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23293 MONTALVO RD",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925573514",
"telephone_number": "909-268-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23293 MONTALVO RD",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925573514",
"telephone_number": "909-268-4181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACE CONGREGATE LIVING HEALTH FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-27",
"status": "A",
"authorized_official_last_name": "EZEAMAMA",
"authorized_official_first_name": "CHARITY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-268-4181",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"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 Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.