YEALEM LLC DBA MISSION VILLA EAST, MISSION VILLA WEST
NPI 1114864055
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in San Diego, CA

Active since April 29, 2026
7241 ZEST ST, SAN DIEGO, CA 92139(619) 757-9519(619) 757-9519 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yealem Llc Dba Mission Villa East, Mission Villa West NPPES

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

YEALEM LLC DBA MISSION VILLA EAST, MISSION VILLA WEST (NPI 1114864055) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in San Diego, California and active in the NPI registry since April 2026. The organization lists Amsal Engdaw, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1114864055
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameYEALEM LLC DBA MISSION VILLA EAST, MISSION VILLA WEST
Location Address7241 ZEST STSan Diego, CA 92139-1253
Mailing Address7241 Zest StSan Diego, CA 92139-1253 · (619) 757-9519 · Fax (619) 757-9519
Fax(619) 757-9519
Organization SubpartNo
Authorized OfficialAmsal EngdawManaging Member · (619) 757-9519
Enumeration DateApril 29, 2026
NPPES CertifiedApril 29, 2026
NPI 1114864055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
7241 ZEST ST, San Diego, CA 92139

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 Yealem LLC Dba Mission Villa East, Mission Villa West's NPI number?

The NPI number for Yealem LLC Dba Mission Villa East, Mission Villa West is 1114864055. It was assigned to this organization in the NPPES registry on April 29, 2026.

Where is Yealem LLC Dba Mission Villa East, Mission Villa West located?

Yealem LLC Dba Mission Villa East, Mission Villa West is located at 7241 Zest St, San Diego, CA 92139. The listed phone number is (619) 757-9519.

What is Yealem LLC Dba Mission Villa East, Mission Villa West'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 Yealem LLC Dba Mission Villa East, Mission Villa West was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.