Organization Active NPI

My Second Home Assisted Living LLC

  • Assisted Living Facility
  • Riverside, CA
National Provider Identifier
1447174156
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MY SECOND HOME ASSISTED LIVING LLC
Practice address
20884 Spring St
Riverside, CA 92507-0161
Phone
(951) 201-9267
NPI assigned
Aug 5, 2026
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Kenya Alejandra Torres
Title
Administrator
Phone
(951) 201-9267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

20884 Spring St
Riverside, CA 92507-0161

Mailing address

22382 Tesoro CT
Grand Terrace, CA 92313-5669
Phone (626) 482-0957

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1447174156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22382 TESORO CT",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135669",
            "telephone_number": "626-482-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20884 SPRING ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070161",
            "telephone_number": "951-201-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SECOND HOME ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "ALEJANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-201-9267"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.