NPIMap

Organization Active NPI

Eastvale Senior Home Care, LLC

  • Assisted Living Facility
  • Eastvale, CA
National Provider Identifier
1952060634
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EASTVALE SENIOR HOME CARE, LLC
Practice address
14318 Pintail Loop
Eastvale, CA 92880-0931
Phone
(562) 303-0126
NPI assigned
Dec 10, 2021
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Rea Alim
Title
Member
Phone
(562) 303-0130

Specialties & licenses 1

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

Addresses

Primary practice location

14318 Pintail Loop
Eastvale, CA 92880-0931

Mailing address

14318 Pintail Loop
Eastvale, CA 92880-0931
Phone (562) 303-0126

National Provider Directory

National Provider Directory
Tax ID family
Eastvale Senior Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1952060634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14318 PINTAIL LOOP",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928800931",
            "telephone_number": "562-303-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14318 PINTAIL LOOP",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928800931",
            "telephone_number": "562-303-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTVALE SENIOR HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "ALIM",
        "authorized_official_first_name": "REA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "562-303-0130"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.