Eastvale Senior Home Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EASTVALE SENIOR HOME CARE, LLC

Practice address

14394 Healy Lake St
Eastvale, CA 92880-9192

Phone

(562) 303-0126

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Rea Alim

Title

Member

Phone

(562) 303-0130

Specialties & licenses 1

Addresses

Tax ID family

Eastvale Senior Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Eastvale Senior Home Care, LLC

  • Assisted Living Facility
  • Eastvale, CA
  • NPI 1952060634
  NPD tax ID

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1760140859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14394 HEALY LAKE ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809192",
            "telephone_number": "562-303-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14394 HEALY LAKE ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809192",
            "telephone_number": "562-303-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTVALE SENIOR HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "ALIM",
        "authorized_official_first_name": "REA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "562-303-0130"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DV Urgent Care Medical Group, Inc.
• Eastvale Academy Inc
• Eastvale Adhc Inc.
• Eastvale Congregate Care
• Eastvale Family Care Inc.
• Eastvale Senior Home Care, LLC
• Eastvale Urgent Care Inc
• Jackline Chelimo Ekai, RN
• Elite Phlebotomy Services, Inc.
• Esther Emerueh, NP

• Assisted Living Facility in Eastvale, CA
• Providers in Eastvale, 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 Dec 6, 2021; 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.