Active NPI
Eastvale Adhc Inc.
- Adult Day Care Clinic/Center
- Eastvale, CA
National Provider Identifier
1396403267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- EASTVALE ADHC INC.
- Practice address
- 12442 Limonite Ave Ste A100
Eastvale, CA 91752-2467 - Phone
- (626) 945-8801
- NPI assigned
- Dec 7, 2021
- 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
- Mr. William Weng
- Title
- Administrator
- Phone
- (626) 945-8801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
12442 Limonite Ave Ste A100
Eastvale, CA 91752-2467
Mailing address
12442 Limonite Ave Ste A100
Eastvale, CA 91752-2467
Phone (626) 945-8801
National Provider Directory
National Provider DirectoryLocations
12442 Limonite Ave
Ste A100
Eastvale, CA 91752
Phone (626) 945-8801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638835200000",
"number": "1396403267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12442 LIMONITE AVE STE A100",
"city": "EASTVALE",
"state": "CA",
"postal_code": "917522467",
"telephone_number": "626-945-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12442 LIMONITE AVE STE A100",
"city": "EASTVALE",
"state": "CA",
"postal_code": "917522467",
"telephone_number": "626-945-8801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTVALE ADHC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A",
"authorized_official_last_name": "WENG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "626-945-8801",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.