Organization Active NPI

Allied Living Services- Als

  • In Home Supportive Care Agency
  • Moreno Valley, CA
National Provider Identifier
1891576930
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ALLIED LIVING SERVICES- ALS
Practice address
12680 Memorial Way Apt 3024
Moreno Valley, CA 92553-2031
Phone
(951) 796-8100
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Jessica Renee Smith
Title
Member
Phone
(951) 796-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

12680 Memorial Way Apt 3024
Moreno Valley, CA 92553-2031

Mailing address

12680 Memorial Way Apt 3024
Moreno Valley, CA 92553-2031
Phone (951) 796-8100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1891576930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12680 MEMORIAL WAY APT 3024",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532031",
            "telephone_number": "951-796-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12680 MEMORIAL WAY APT 3024",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532031",
            "telephone_number": "951-796-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED LIVING SERVICES- ALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "951-796-8100"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.