Active NPI
Penda LLC
- Assisted Living Facility
- Menifee, CA
National Provider Identifier
1841992898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PENDA LLC
- Practice address
- 26042 Westridge Ave
Menifee, CA 92586-5815 - Phone
- (619) 483-6656
- NPI assigned
- Mar 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mildred Kiminyei
- Title
- Adminstartor
- Phone
- (619) 483-6656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
26042 Westridge Ave
Menifee, CA 92586-5815
Mailing address
26042 Westridge Ave
Menifee, CA 92586-5815
Phone (619) 483-6656
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737417600000",
"number": "1841992898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26042 WESTRIDGE AVE",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925865815",
"telephone_number": "619-483-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26042 WESTRIDGE AVE",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925865815",
"telephone_number": "619-483-6656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-21",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A",
"authorized_official_last_name": "KIMINYEI",
"authorized_official_first_name": "MILDRED",
"authorized_official_title_or_position": "ADMINSTARTOR",
"authorized_official_telephone_number": "619-483-6656"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.