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THE GROVE ASSISTED LIVING
NPI 1144885922
Assisted Living Facility in Riverside, CA

Active since May 07, 2019CLIA 05D2227984 · Waiver
3401 LEMON ST, RIVERSIDE, CA 92501(951) 686-8202(951) 784-1508 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2020, May 7, 2019 (2 updates tracked since 2019).

About The Grove Assisted Living NPPES

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

THE GROVE ASSISTED LIVING (NPI 1144885922) is a healthcare organization registered as an assisted living facility in Riverside, California and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Lee Johnson, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1144885922
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMISSION INN SENIOR LIVING LLC
Location Address3401 LEMON STRiverside, CA 92501-2861
Mailing Address3401 Lemon StRiverside, CA 92501-2861 · (951) 686-8202
Phone(951) 686-8202
Fax(951) 784-1508
Organization SubpartNo
Authorized OfficialLee JohnsonTreasurer · (208) 401-1369
Enumeration DateMay 7, 2019
Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration
✔ NPI 1144885922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
3401 LEMON ST, Riverside, CA 92501
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Other Names 1

Doing Business AsThe Grove Assisted Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2227984

The Grove Assisted Living · Riverside, CA
Active · expires Jun 20, 2027
CLIA Number05D2227984
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorCasey A. Goodman
Laboratory Phone(951) 686-8202
Laboratory LocationThe Grove Assisted Living3401 Lemon Street Apt 605 3rd Floor, Riverside, CA 92501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

RIVERSIDE CONGREGATIONAL HOMES
Skilled Nursing Facility
3401 LEMON ST
RIVERSIDE, CA 92501
Riverside County (951) 686-8202
TYRETEL IANCU DPT
Physical Therapist
3401 LEMON ST
RIVERSIDE, CA 92501
Riverside County (951) 686-8202
EMPIRECARE HEALTH ASSOCIATES LLC
Skilled Nursing Facility
3401 LEMON ST
RIVERSIDE, CA 92501
Riverside County (951) 686-8202
LISA RAE RIVERASHUMWAY PT
Physical Therapist
3401 LEMON ST
RIVERSIDE, CA 92501
Riverside County (951) 686-8202
MAXINE SEABORN
Licensed Practical Nurse
3401 LEMON ST
RIVERSIDE, CA 92501
Riverside County (951) 686-8204
THE GROVE CARE AND WELLNESS CENTER
Custodial Care Facility (Adult Care Home)
3401 LEMON ST
RIVERSIDE, CA 92501
Riverside County (951) 689-5788
GABRIEL GUZMAN OTR/L
Occupational Therapist
3401 LEMON ST
RIVERSIDE, CA 92501
Riverside County (951) 686-8202
GOLDEN EAGLE SENIOR LIVING, INC.
Assisted Living Facility
3401 LEMON ST
RIVERSIDE, CA 92501
Riverside County (951) 686-8202

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 Mission Inn Senior Living LLC's NPI number?

The NPI number for Mission Inn Senior Living LLC is 1144885922. It was assigned to this organization in the NPPES registry on May 7, 2019. The provider is doing business as The Grove Assisted Living.

Where is Mission Inn Senior Living LLC located?

Mission Inn Senior Living LLC is located at 3401 Lemon St, Riverside, CA 92501. The listed phone number is (951) 686-8202.

What is Mission Inn Senior Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Mission Inn Senior Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2227984) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mission Inn Senior Living LLC was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.