Organization Active NPI

Sea Breeze Homes of Eastvale LLC

  • Assisted Living Facility
  • Eastvale, CA
National Provider Identifier
1821956392
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SEA BREEZE HOMES OF EASTVALE LLC
Practice address
5897 Springcrest St
Eastvale, CA 92880-3141
Phone
(909) 509-3115
NPI assigned
Jan 13, 2026
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Mariam Long, HOME HEALTH AID
Title
Administrator
Phone
(714) 299-9634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5897 Springcrest St
Eastvale, CA 92880-3141

Mailing address

5897 Springcrest St
Eastvale, CA 92880-3141
Phone (909) 509-3115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1821956392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5897 SPRINGCREST ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803141",
            "telephone_number": "909-509-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5897 SPRINGCREST ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803141",
            "telephone_number": "909-509-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA BREEZE HOMES OF EASTVALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-299-9634",
        "authorized_official_credential": "HOME HEALTH AID"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.