Elite Manor Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELITE MANOR INC.

Practice address

935 N Damato Dr
Covina, CA 91724-2042

Phone

(626) 290-1573

NPI assigned

Oct 25, 2023

Organization subpart

No

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

Authorized official

Name

Galdys Pervez

Title

Licensee

Phone

(626) 290-1573

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1609648484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 PASEO VALLE VIS",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243201",
            "telephone_number": "626-290-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 N DAMATO DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242042",
            "telephone_number": "626-290-1573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1318 Paseo Valle Vis",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917243201",
            "country_code": "US",
            "telephone_number": "626-290-1573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "PERVEZ",
        "authorized_official_first_name": "GALDYS",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "626-290-1573"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emanate Health Ipa

• Assisted Living Facility in Covina, CA
• Providers in Covina, CA by specialty
• Assisted Living Facility in California

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