EVELYN LAVERN THOMPSON
NPI 1104003763
Skilled Nursing Facility - Nursing Care, Pediatric in Moreno Valley, CA

Q: What is Evelyn Lavern Thompson's NPI number?

The NPI number for Evelyn Lavern Thompson is 1104003763. It was assigned to this organization in the NPPES registry on January 25, 2008.

Q: What is Evelyn Lavern Thompson's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

Active since January 25, 2008

12279 LASSELLE ST, MORENO VALLEY, CA 92557(951) 485-6847 Get Directions Write a Review

NPPES record last updated: January 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Evelyn Lavern Thompson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVELYN LAVERN THOMPSON (NPI 1104003763) is a healthcare organization registered as a nursing care, pediatric in Moreno Valley, California and active in the NPI registry since January 2008. The organization lists Evelyn Lavern Thompson, L.v.n, as its authorized official.

NPPES Registry Identity

NPI1104003763

Entity TypeOrganization

Primary Taxonomy3140N1450X

Legal Business NameEVELYN LAVERN THOMPSON

Location Address12279 LASSELLE STMoreno Valley, CA 92557-7705

Mailing Address12279 Lasselle StMoreno Valley, CA 92557-7705 · (951) 485-6847

Phone(951) 485-6847

Organization SubpartNo

Authorized OfficialEvelyn Lavern ThompsonL.v.n · (951) 485-6847

Enumeration DateJanuary 25, 2008

✔ NPI 1104003763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities

Taxonomy Code3140N1450X

License✔ Licensed in CA · VN129832

Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

12279 LASSELLE ST, Moreno Valley, CA 92557

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EVELYN LAVERN THOMPSON LVN

Licensed Vocational Nurse

12279 LASSELLE ST
MORENO VALLEY, CA 92557

Riverside County (951) 485-6847

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evelyn Lavern Thompson's NPI number?

The NPI number for Evelyn Lavern Thompson is 1104003763. It was assigned to this organization in the NPPES registry on January 25, 2008.

Where is Evelyn Lavern Thompson located?

Evelyn Lavern Thompson is located at 12279 Lasselle St, Moreno Valley, CA 92557. The listed phone number is (951) 485-6847.

What is Evelyn Lavern Thompson's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Evelyn Lavern Thompson was last updated on January 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.