Active NPI
San Dimas Elite Senior Home LLC
- Assisted Living Facility
- San Dimas, CA
National Provider Identifier
1245136118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SAN DIMAS ELITE SENIOR HOME LLC
- Practice address
- 747 Belleview Ave
San Dimas, CA 91773-1838 - Phone
- (901) 326-6666
- NPI assigned
- Oct 17, 2026
- Last updated
- Oct 17, 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
- Mrs. Khadra Abdelghani
- Title
- Ceo
- Phone
- (901) 326-6666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
747 Belleview Ave
San Dimas, CA 91773-1838
Mailing address
13722 Wilshire Dr
Rancho Cucamonga, CA 91739-2296
Phone (901) 326-6666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792195200000",
"number": "1245136118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13722 WILSHIRE DR",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917392296",
"telephone_number": "901-326-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 BELLEVIEW AVE",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917731838",
"telephone_number": "901-326-6666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIMAS ELITE SENIOR HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-17",
"last_updated": "2026-10-17",
"certification_date": "2026-10-17",
"status": "A",
"authorized_official_last_name": "ABDELGHANI",
"authorized_official_first_name": "KHADRA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "901-326-6666",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Dimas, CA
- San Dimas Care LLC
- San Dimas Community Hospital, Inc. (San Dimas Community Hospital)
- San Dimas Community Hospital, Inc. (San Dimas Community Hospital)
- San Dimas Counseling, LLC
- San Dimas Dialysis Center a Medical Corporation (San Dimas Dialysis Center, Inc.)
- San Dimas Emergency Medical Associates Inc.
- San Dimas Family and Sedation Dentistry
- San Dimas Family and Sedation Dentistry
- San Dimas Family Care Inc.
- San Dimas Family Care, a Medical Corporation (San Dimas Family Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.