Hala Alsayeh, CNA/RCFE OWNER (ATYP

Individual provider Active NPI Assisted Living Facility · Perris, CA

NPI 1629855697 · NPPES record last updated Sep 12, 2023

Key facts

NPI
1629855697
Entity type
Individual (NPI type 1)
Primary specialty
Assisted Living Facility 310400000X
License
331880889 (CA)
Practice address
20461 Myron Street
Perris, CA 92570-9853
Phone
(951) 349-3440
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
331880889CAMDAssisted Living Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 331880889 CA Yes

Addresses

Primary practice location

20461 Myron Street
Perris, CA 92570-9853

Mailing address

20461 Myron Street
Perris, CA 92570-9853
Phone (951) 349-3440

Other identifiers

IdentifierTypeStateIssuer
331880889OtherCARCPE

Other providers in Perris, CA

All providers in Perris, CA · Assisted Living Facility in California

Sources for this page

Verify at the official NPI Registry.