Organization Active NPI

Elite Senior Care LLC

  • Assisted Living Facility
  • Temecula, CA
National Provider Identifier
1598526212
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ELITE SENIOR CARE LLC
Practice address
43895 Bluewood Cir
Temecula, CA 92592-5667
Phone
(951) 466-6221
NPI assigned
Jan 19, 2024
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Myla Sevillano
Title
Licensee
Phone
(951) 466-6221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

43895 Bluewood Cir
Temecula, CA 92592-5667

Mailing address

43895 Bluewood Cir
Temecula, CA 92592-5667
Phone (951) 466-6221

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1598526212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43895 BLUEWOOD CIR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925667",
            "telephone_number": "951-466-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43895 BLUEWOOD CIR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925667",
            "telephone_number": "951-466-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "SEVILLANO",
        "authorized_official_first_name": "MYLA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "951-466-6221"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.