Organization Active NPI

Angels Haven Care Assisted Living Elsinore LLC

  • Assisted Living Facility
  • Lake Elsinore, CA
National Provider Identifier
1427938695
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANGELS HAVEN CARE ASSISTED LIVING ELSINORE LLC
Practice address
36785 Braken Way
Lake Elsinore, CA 92532-3045
Phone
(951) 452-1216
NPI assigned
Sep 6, 2025
Last updated
Sep 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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

Authorized official

Name
Ricardo Garcia
Title
Licensee
Phone
(951) 452-1216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

36785 Braken Way
Lake Elsinore, CA 92532-3045

Mailing address

2447 Antelope Dr
Corona, CA 92882-5619
Phone (951) 452-1216

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757116800000",
    "number": "1427938695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 ANTELOPE DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825619",
            "telephone_number": "951-452-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36785 BRAKEN WAY",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925323045",
            "telephone_number": "951-452-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS HAVEN CARE ASSISTED LIVING ELSINORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "951-452-1216"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; 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.