Active NPI
Angels Haven Care Assisted Living Elsinore LLC
- Assisted Living Facility
- Lake Elsinore, CA
National Provider Identifier
1427938695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2025
- 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
- Ricardo Garcia
- Title
- Licensee
- Phone
- (951) 452-1216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- American Spine PC (American Spine)
- Amethyst Care Home Health
- Purvi Amin, RPH
- Amit Shah & Aarti Puri D.D.S Inc (Elsinore Smiles Dental office of Dr. Amit Shah and Aarti Puri dds inc)
- Hanieh Amoozegar, PT
- Joe Anigbogu, PHARMD, RPH
- Anita C. Singh, DDS, Inc
- Allan Anolin
- Laura Abigail Ansari, RBT
- Julie Anson
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.