Organization Active NPI

Ace Congregate Living Health Facility

  • Skilled Nursing Facility
  • Moreno Valley, CA
National Provider Identifier
1114830395
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.