At Awe LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AT AWE LLC

Doing business as

At Awe Congregate Living Health Facility

Practice address

10876 Morning Ridge Dr
Moreno Valley, CA 92557-4202

Phone

(951) 214-2234

Fax

(951) 214-2234

NPI assigned

May 22, 2020

Organization subpart

No

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

Authorized official

Name

Alvin AdamsNPI 1265663041

Title

Administrator

Phone

(323) 590-3403

Specialties & licenses 2

Addresses

Other names 1

• At Awe Congregate Living Health Facility Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alvin Stone Adams, LVN

  • Licensed Practical Nurse
  • Los Angeles, CA
  • NPI 1265663041
  NPD Authorized official
• Mikaela Scott, PA-C

  • Physician Assistant
  • North Hollywood, CA
  • NPI 1790660223
  NPD (past)

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1881217974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10876 MORNING RIDGE DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925574202",
            "telephone_number": "951-214-2234",
            "fax_number": "951-214-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10876 MORNING RIDGE DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925574202",
            "telephone_number": "951-214-2234",
            "fax_number": "951-214-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT AWE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-590-3403"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Awe Congregate Living Health Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyyeesha Zha Vette Asiseh
• Nashaat Askander
• Nabeel Aslam
• Aspen Medical Group, Inc.
• Assessment, Counseling, and Educational Solutions LLC
• Athena Counseling Center
• Sonia Atiyota, AMFT, APCC
• Christopher K. Atlas
• Huy Duong Au, M.D.
• Taryn Auberry

• Skilled Nursing Facility in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.