ELIAA, LLC (NPI# 1528671633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528671633 |
| Entity Type | Organization |
| Organization Name | ELIAA, LLC |
| Practice Address |
1229 Kelley Avenue Corona CA 92882-4207 |
| Practice Telephone | 9513399834 |
| Practice Fax Number | 9513399834 |
| Mailing Telephone | 9513399834 |
| Mailing Fax Number | 9513399834 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | AMIRRA YOUNES (ADMINISTRATOR) |
| Authorized Official Telephone | 6506567941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| A & J Residential Care Facility | Doing Business As Name - Organization |
| Street Address |
1229 KELLEY AVENUE |
| City | CORONA |
| State | CA |
| Zip Code | 92882-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427592963 | Carissa Group Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1048 Stowell Ranch Cir, Corona, CA 92881-4739 | 2016-12-16 |
| 1568771756 | Castles Care Homes, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 255 E. Rincon Street, Suite #212, Corona, CA 92879-1369 | 2010-10-05 |
| 1942532262 | Peppermint Ridge Dudley Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4289 Shoalcreek Dr, Corona, CA 92883-0724 | 2010-02-11 |
| 1255580668 | Castles Care Homes, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7302 Excelsior Dr, Corona, CA 92880 | 2008-09-10 |
| 1437308848 | Castles Care Homes,inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1481 Teakwood Place, Corona, CA 92880 | 2008-09-10 |
| 1508075508 | Peppermint Ridge | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1581 Heartland Way, Corona, CA 92881-4180 | 2007-05-22 |
| 1689896813 | Peppermint Ridge | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 779 Ford Street, Corona, CA 92879-2507 | 2007-05-03 |
| 1063634541 | Peppermint Ridge | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 825 Magnolia Ave, Corona, CA 92879-3129 | 2007-05-03 |
| 1568674703 | Peppermint Ridge | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4045 Castle Pines Way, Corona, CA 92883-0603 | 2007-05-03 |
| 1518987049 | Castles Care Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1068 Elmhurst Street, Corona, CA 92880 | 2006-07-20 |
| Find all providers in CORONA | ||||
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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.