Ableway Adult Residential Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ABLEWAY ADULT RESIDENTIAL FACILITY LLC

Practice address

17929 Stevens St
Adelanto, CA 92301-2288

Phone

(424) 233-5881

NPI assigned

Jun 4, 2024

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe SimsNPI 1124488663

Title

Owner

Phone

(424) 233-5881

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joe Sims

  • Rehabilitation Practitioner
  • Orange, CA
  • NPI 1124488663

  Case Manager/Care Coordinator

  NPD Authorized official

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1780425744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9826 CEDAR ST APT 12A",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066967",
            "telephone_number": "424-233-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17929 STEVENS ST",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923012288",
            "telephone_number": "424-233-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLEWAY ADULT RESIDENTIAL FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-233-5881"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aya Abdelaziz
• Antoinette Abrom
• Adelanto Care Manor Inc.
• Adelanto Esd
• Adelanto Fire Department
• Adelanto Loving Care Inc.

• Assisted Living Facility in Adelanto, CA
• Providers in Adelanto, 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 Jun 4, 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.