Empire Congregate Living Health Facility

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

EMPIRE CONGREGATE LIVING HEALTH FACILITY

Practice address

11657 4TH Ave
Hesperia, CA 92345-2041

Phone

(951) 254-7617

NPI assigned

Feb 16, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Paul Lim

Title

Ceo

Phone

(951) 264-7617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1467305003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11657 4TH AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452041",
            "telephone_number": "951-254-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11657 4TH AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452041",
            "telephone_number": "951-254-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE CONGREGATE LIVING HEALTH FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-264-7617",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benedicto Elepano, DDS
• Allison Nicole Elliott
• Shannon Kathleen Elliott
• Lakieta L Emanuel, M.A., CCC-SLP
• Cheryl Ann Emoto, M.D.
• Jose Enciso Jr.
• Cynthia Enriquez
• Kimberly Epps
• Eric J Storm & Brenda J Reid
• Eric R. Hansen, D.O., Professional Corporation

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.