NPIMap

Organization Active NPI

Eliaa, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Corona, CA
National Provider Identifier
1528671633
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ELIAA, LLC
Doing business as
A & J Residential Care Facility
Practice address
1229 Kelley Avenue
Corona, CA 92882-4207
Phone
(951) 339-9834
Fax
(951) 339-9834
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Amirra Younes
Title
Administrator
Phone
(650) 656-7941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1229 Kelley Avenue
Corona, CA 92882-4207

Mailing address

1229 Kelley Avenue
Corona, CA 92882-4207
Phone (951) 339-9834

Other names 1

  • A & J Residential Care Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eliaa LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1528671633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 KELLEY AVENUE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824207",
            "telephone_number": "951-339-9834",
            "fax_number": "951-339-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 KELLEY AVENUE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824207",
            "telephone_number": "951-339-9834",
            "fax_number": "951-339-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIAA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "YOUNES",
        "authorized_official_first_name": "AMIRRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-656-7941"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & J Residential Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.