Everlast Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EVERLAST ASSISTED LIVING LLC

Practice address

30045 Audelo St
Lake Elsinore, CA 92530-7342

Phone

(909) 816-5016

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Sopheareak Langi

Title

Ceo

Phone

(909) 816-5016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1447018262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30045 AUDELO ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307342",
            "telephone_number": "909-816-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30045 AUDELO ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307342",
            "telephone_number": "909-816-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLAST ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "LANGI",
        "authorized_official_first_name": "SOPHEAREAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-816-5016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ivonne Estrada, APCC
• Lysette Nana Etti
• Edil Evangelista, MSN RN PHN FNPC CCRN
• Donna Evelyn, PH.D.
• Ever Ready Home Care Service LLC
• Everlasting Assisted Living
• Katherine Rose Fairweather
• Audrey Marie Falencik, MS MFT COUNSELING
• Family Health Care of Southern California
• Farid Saadat MD Inc

• Assisted Living Facility in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.