ELIM SENIOR SERVICES LLC (NPI# 1386083426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386083426 |
| Entity Type | Organization |
| Organization Name | ELIM SENIOR SERVICES LLC |
| Other Organization Name | ELIM ASSISTED LIVING |
| Practice Address |
18787 Carlton Ave Castro Valley CA 94546-2905 |
| Practice Telephone | 5108850557 |
| Mailing Telephone | 8888188101 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-26 |
| Authorized Official Name | MS. ECATERINA TET (LLC MEMBER) |
| Authorized Official Telephone | 9257683031 |
| Authorized Official Credential | LVN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311Z00000X | Custodial Care Facility | 075600223 | CA | Nursing & Custodial Care Facilities |
| N | 311Z00000X | Custodial Care Facility | 075601505 | CA | Nursing & Custodial Care Facilities |
| Y | 311Z00000X | Custodial Care Facility | 015601014 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Elim Assisted Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467891515 | Elim Senior Services LLC | Custodial Care Facility | 3653 Wren Ave, Concord, CA 94519-1767 | 2013-06-21 |
| 1316386451 | Elim Senior Services LLC | Custodial Care Facility | 5126 Coral Ct, Concord, CA 94521-2315 | 2013-06-21 |
| Street Address |
18787 CARLTON AVE |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740825611 | Special Request LLC | Custodial Care Facility | 18787 Carlton Ave, Castro Valley, CA 94546-2905 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740826163 | Special Request LLC | Custodial Care Facility | 18821 Carlton Ave, Castro Valley, CA 94546-2907 | 2019-11-20 |
| 1740825611 | Special Request LLC | Custodial Care Facility | 18787 Carlton Ave, Castro Valley, CA 94546-2905 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336799170 | Sierra Care At The Lake,llc | Custodial Care Facility | 648 W Sierra Ave, Clovis, CA 93612-0151 | 2019-09-13 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1558825133 | Calrecup Care, Inc | Custodial Care Facility | 10510 S Vermont Ave, Los Angeles, CA 90044-3022 | 2019-01-28 |
| 1083185474 | Ray Joanne Leyva | Custodial Care Facility | 15617 Red Oak Way, Victorville, CA 92394-3228 | 2018-12-10 |
| 1760965081 | W.p.r. LLC | Custodial Care Facility | 2733 Country Club Blvd Apt 87, Stockton, CA 95204-3975 | 2018-09-12 |
| 1730674342 | Harbor Recuperative Care LLC | Custodial Care Facility | 11134 Sepulveda Blvd, Mission Hills, CA 91345-1114 | 2018-06-26 |
| 1548778152 | Sk Marathon Home Care | Custodial Care Facility | 7246 Fallbrook Ave, West Hills, CA 91307 | 2018-01-17 |
| 1386176808 | Mickey Iliescu | Custodial Care Facility | 7125 Main Ave, Orangevale, CA 95662-2813 | 2017-04-03 |
| 1013454289 | A Caring Heart Residence, Inc. | Custodial Care Facility | 371 E Millan St, Chula Vista, CA 91910-6313 | 2017-01-26 |
| 1134666456 | Silver Soul Chronicles, Inc. | Custodial Care Facility | 10212 Malinda Ln, Garden Grove, CA 92840-2918 | 2017-01-24 |
| Find all providers with the same taxonomy | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.