Organization Active NPI

Casa Mojave

  • Assisted Living Facility
  • Hemet, CA
National Provider Identifier
1881428183
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CASA MOJAVE
Practice address
5135 Amarillys St
Hemet, CA 92545-8320
Phone
(951) 533-6439
NPI assigned
Aug 28, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Earlienne Rillo
Title
Ceo
Phone
(951) 533-6439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

5135 Amarillys St
Hemet, CA 92545-8320

Mailing address

5135 Amarillys St
Hemet, CA 92545-8320
Phone (951) 533-6439

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1881428183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 AMARILLYS ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925458320",
            "telephone_number": "951-533-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 AMARILLYS ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925458320",
            "telephone_number": "951-533-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA MOJAVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "RILLO",
        "authorized_official_first_name": "EARLIENNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-533-6439"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.