NPIMap

Organization Active NPI

Elim Senior Services LLC

Doing business as Elim Assisted Living

  • Custodial Care Facility
  • Castro Valley, CA
National Provider Identifier
1386083426
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
015601014 Issued in CA
Legal business name
ELIM SENIOR SERVICES LLC
Doing business as
Elim Assisted Living
Practice address
18787 Carlton Ave
Castro Valley, CA 94546-2905
Phone
(510) 885-0557
NPI assigned
Jun 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Ms. Ecaterina Tet, LVN
Title
LLC Member
Phone
(925) 768-3031

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 015601014 CA Primary
Custodial Care Facility 311Z00000X 075600223 CA
Custodial Care Facility 311Z00000X 075601505 CA

Addresses

Primary practice location

18787 Carlton Ave
Castro Valley, CA 94546-2905

Mailing address

18787 Carlton Ave
Castro Valley, CA 94546-2905
Phone (888) 818-8101

Other names 1

  • Elim Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elim Assisted Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1386083426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18787 CARLTON AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945462905",
            "telephone_number": "888-818-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18787 CARLTON AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945462905",
            "telephone_number": "510-885-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIM SENIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "TET",
        "authorized_official_first_name": "ECATERINA",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "925-768-3031",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CA",
            "license": "015601014",
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CA",
            "license": "075600223",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CA",
            "license": "075601505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elim Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.