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HABITAT HEALTH WEST COVINA
NPI 1104707157
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in West Covina, CA

Active since September 08, 2025
702 N AZUSA AVE, WEST COVINA, CA 91791(508) 212-9951 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Habitat Health West Covina NPPES

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

HABITAT HEALTH WEST COVINA (NPI 1104707157) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in West Covina, California and active in the NPI registry since September 2025. The organization lists Victoria Cleveland, Manager, New Markets, as its authorized official.

NPPES Registry Identity

NPI1104707157
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameHABITAT HEALTH WEST COVINA
Location Address702 N AZUSA AVEWest Covina, CA 91791-1010
Mailing Address39 Arkansas StSan Francisco, CA 94107-2434 · (508) 212-9951
Phone(508) 212-9951
Organization SubpartNo
Authorized OfficialVictoria ClevelandManager, New Markets · (508) 212-9951
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1104707157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
702 N AZUSA AVE, West Covina, CA 91791
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Other Providers at the Same Location NPPES 3

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

DR. CHERYL ANN DACAYO PHARMD
Pharmacist
702 N AZUSA AVE
WEST COVINA, CA 91791
Los Angeles County (626) 967-1069
MRS. ZEINA HAMATY RPH
Pharmacist
702 N AZUSA AVE
WEST COVINA, CA 91791
Los Angeles County (626) 967-0679
CHANG SOO LEE PHARMACIST
Pharmacist
702 N AZUSA AVE
WEST COVINA, CA 91791
Los Angeles County (626) 967-0679

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 Habitat Health West Covina's NPI number?

The NPI number for Habitat Health West Covina is 1104707157. It was assigned to this organization in the NPPES registry on September 8, 2025.

Where is Habitat Health West Covina located?

Habitat Health West Covina is located at 702 N Azusa Ave, West Covina, CA 91791. The listed phone number is (508) 212-9951.

What is Habitat Health West Covina's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Habitat Health West Covina was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.