Active NPI
Casa Mojave
- Assisted Living Facility
- Hemet, CA
National Provider Identifier
1881428183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2024
- 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
- Earlienne Rillo
- Title
- Ceo
- Phone
- (951) 533-6439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.