Organization Active NPI

Kingswork Solutions LLC

  • Skilled Nursing Facility
  • Lake Elsinore, CA
National Provider Identifier
1497514558
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KINGSWORK SOLUTIONS LLC
Practice address
4253 Ladrillo St
Lake Elsinore, CA 92530-7603
Phone
(909) 896-4539
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Authorized official

Name
Mr. Randolph Haber Payawal
Title
Ceo
Phone
(909) 896-4539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4253 Ladrillo St
Lake Elsinore, CA 92530-7603

Mailing address

6597 Lunt CT
Chino, CA 91710-7382
Phone (909) 896-4539

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770422400000",
    "number": "1497514558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6597 LUNT CT",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107382",
            "telephone_number": "909-896-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 LADRILLO ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307603",
            "telephone_number": "909-896-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWORK SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A",
        "authorized_official_last_name": "PAYAWAL",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "HABER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-896-4539",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing 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 Feb 7, 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.