Organization Active NPI

Althaea Manor Care LLC

  • Assisted Living Facility
  • Moreno Valley, CA
National Provider Identifier
1558017111
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ALTHAEA MANOR CARE LLC
Doing business as
Abounding Love Home Care
Practice address
13213 Napa Valley CT
Moreno Valley, CA 92555-2498
Phone
(951) 379-1429
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Cheryl Dela Cruz
Title
Licensee
Phone
(951) 961-1303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

13213 Napa Valley CT
Moreno Valley, CA 92555-2498

Mailing address

27172 Golden Field CT
Moreno Valley, CA 92555-4538
Phone (951) 961-1303

Other names 1

  • Abounding Love Home Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL aboundinglovehomecare@yahoo.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1558017111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27172 GOLDEN FIELD CT",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554538",
            "telephone_number": "951-961-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13213 NAPA VALLEY CT",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552498",
            "telephone_number": "951-379-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTHAEA MANOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "951-961-1303"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aboundinglovehomecare@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Na",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "13213 Napa Valley Ct",
            "city": "Moreno Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925552498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Abounding Love Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.