Eternal Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ETERNAL SENIOR LIVING LLC

Practice address

3269 E Sample Ave
Fresno, CA 93710-5910

Phone

(323) 542-4079

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Unique NoldonNPI 1306719174

Title

Owner

Phone

(323) 542-4079

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Unique Noldon

  • Adult Companion
  • Glenn Heights, TX
  • NPI 1306719174
  NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1164285789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 E SAMPLE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 E SAMPLE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105910",
            "telephone_number": "323-542-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "NOLDON",
        "authorized_official_first_name": "UNIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-542-4079"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Denise Estrada, LE/CPE
• Aveline Estrella, RN
• Jose Estrella
• Marayah Estremera
• Kimia Etemadi, DO
• Eternity Health Care Inc
• Pouran Etezadi, RD
• Louise Lois Ethington
• William B Etiz, DO
• Eudaemonia, a Nursing Practice Professional Corporation

• Assisted Living Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.