MISSION INN SENIOR LIVING LLC (NPI# 1144885922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144885922 |
| Entity Type | Organization |
| Organization Name | MISSION INN SENIOR LIVING LLC |
| Other Organization Name | THE GROVE ASSISTED LIVING |
| Practice Address |
3401 Lemon St Riverside CA 92501-2861 |
| Practice Telephone | 9516868202 |
| Practice Fax Number | 9517841508 |
| Mailing Telephone | 9516868202 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | LEE JOHNSON (TREASURER) |
| Authorized Official Telephone | 2084011369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| THE GROVE ASSISTED LIVING | Doing Business As Name - Organization |
| Street Address |
3401 LEMON ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-2861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124415 | Riverside Congregational Homes | Skilled Nursing Facility | 3401 Lemon St, Riverside, CA 92501-2817 | 2005-06-14 |
| 1821552621 | Valerie Roach | Occupational Therapist | 3401 Lemon St, Riverside, CA 92501-2861 | 2019-01-25 |
| 1821552639 | Elizabeth Rose Watanabe | Occupational Therapist | 3401 Lemon St, Riverside, CA 92501-2861 | 2019-01-25 |
| 1518439215 | Gabriel Guzman | Occupational Therapist | 3401 Lemon St, Riverside, CA 92501-2861 | 2018-12-19 |
| 1386116085 | Lisa Rae Riverashumway | Physical Therapist | 3401 Lemon St, Riverside, CA 92501-2861 | 2018-12-19 |
| 1245700566 | Tyretel Iancu | Physical Therapist | 3401 Lemon St, Riverside, CA 92501-2861 | 2018-11-29 |
| 1508238726 | The Grove Care and Wellness Center | Custodial Care Facility | 3401 Lemon St, Riverside, CA 92501-2861 | 2015-10-27 |
| 1487889325 | Maxine Seaborn | Licensed Practical Nurse | 3401 Lemon St, Riverside, CA 92501-2861 | 2009-05-21 |
| 1356588826 | Empirecare Health Associates, Inc. | Assisted Living Facility | 3401 Lemon St, Riverside, CA 92501-2861 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280788 | Yenny M Vieyra Aviles | Assisted Living Facility | 3879 Lafayette St, Riverside, CA 92503-3821 | 2020-06-23 |
| 1326672973 | Blessed Elder Care Inc | Assisted Living Facility | 5041 Sierra St, Riverside, CA 92504-2260 | 2020-02-22 |
| 1518504786 | Faith Hope and Love Assisted Living, Inc. | Assisted Living Facility | 5505 Via San Jacinto, Riverside, CA 92506-3652 | 2019-12-05 |
| 1477037299 | California Home for The Adult Deaf | Assisted Living Facility | 3615 Crowell Ave, Riverside, CA 92504-3549 | 2018-09-18 |
| 1790265650 | Juan Cornell | Assisted Living Facility | 1622 Palermo Dr, Riverside, CA 92507-2393 | 2018-08-20 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1972029486 | Fern Home 1 LLC | Assisted Living Facility | 3875 Megginson Ln, Riverside, CA 92503-3425 | 2017-08-16 |
| 1255755237 | Caloaks Care Group Inc | Assisted Living Facility | 3891 Polk St, Riverside, CA 92505-1703 | 2014-02-11 |
| 1386965424 | Senior Focus Residential Care | Assisted Living Facility | 871 Via Mindi, Riverside, CA 92506-3642 | 2010-06-11 |
| 1780913475 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5881 El Palomino Dr, Riverside, CA 92509-7006 | 2009-12-09 |
| Find all providers in RIVERSIDE | ||||
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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.