Organization Active NPI

Levelup Assisted Living LLC

Doing business as Broadmoor Assisted Living

  • Assisted Living Facility
  • San Bernardino, CA
National Provider Identifier
1376458216
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEVELUP ASSISTED LIVING LLC
Doing business as
Broadmoor Assisted Living
Practice address
3667 Broadmoor Blvd
San Bernardino, CA 92404-1709
Phone
(909) 882-2723
NPI assigned
Aug 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Grace Yang, RN, BSNNPI 1760343172
Title
Managing Member
Phone
(909) 882-2723

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

3667 Broadmoor Blvd
San Bernardino, CA 92404-1709

Mailing address

3667 Broadmoor Blvd
San Bernardino, CA 92404-1709
Phone (909) 882-2723

Other names 1

  • Broadmoor Assisted Living Doing business as

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": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1376458216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3667 BROADMOOR BLVD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041709",
            "telephone_number": "909-882-2723",
            "fax_number": "909-882-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3667 BROADMOOR BLVD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041709",
            "telephone_number": "909-882-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVELUP ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "909-882-2723",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadmoor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.