Organization Active NPI

United in Change Assisted Living and Memory Care LLC

  • Assisted Living Facility
  • Moreno Valley, CA
National Provider Identifier
1265259337
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
UNITED IN CHANGE ASSISTED LIVING AND MEMORY CARE LLC
Practice address
26452 Avenida de la Paz
Moreno Valley, CA 92555-4240
Phone
(951) 234-0600
NPI assigned
Sep 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Etta J SimpsonNPI 1932480597
Title
Chief Executive Officer
Phone
(951) 498-1770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

26452 Avenida de la Paz
Moreno Valley, CA 92555-4240

Mailing address

26452 Avenida de la Paz
Moreno Valley, CA 92555-4240
Phone (951) 498-1770

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1265259337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26452 AVENIDA DE LA PAZ",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554240",
            "telephone_number": "951-498-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26452 AVENIDA DE LA PAZ",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554240",
            "telephone_number": "951-234-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED IN CHANGE ASSISTED LIVING AND MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "ETTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "951-498-1770"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "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 Sep 20, 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.