Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAN DIMAS ELITE SENIOR HOME LLC
NPI 1245136118
Assisted Living Facility in San Dimas, CA

Q: What is San Dimas Elite Senior Home LLC's NPI number?

The NPI number for San Dimas Elite Senior Home LLC is 1245136118. It was assigned to this organization in the NPPES registry on October 17, 2026.

Q: What is San Dimas Elite Senior Home LLC's specialty?

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

Active since October 17, 2026

747 BELLEVIEW AVE, SAN DIMAS, CA 91773(901) 326-6666 Get Directions Write a Review

NPPES record added: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About San Dimas Elite Senior Home Llc NPPES

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

SAN DIMAS ELITE SENIOR HOME LLC (NPI 1245136118) is a healthcare organization registered as an assisted living facility in San Dimas, California and active in the NPI registry since October 2026. The organization lists Khadra Abdelghani, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245136118

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSAN DIMAS ELITE SENIOR HOME LLC

Location Address747 BELLEVIEW AVESan Dimas, CA 91773-1838

Mailing Address13722 Wilshire DrRancho Cucamonga, CA 91739-2296 · (901) 326-6666

Phone(901) 326-6666

Organization SubpartNo

Authorized OfficialKhadra AbdelghaniCeo · (901) 326-6666

Enumeration DateOctober 17, 2026

NPPES CertifiedOctober 17, 2026

✔ NPI 1245136118 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.

747 BELLEVIEW AVE, San Dimas, CA 91773

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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.

CANYON VIEW CHOLIE'S COTTAGE'S, INC

Custodial Care Facility (Adult Care Home)

747 BELLEVIEW AVE
SAN DIMAS, CA 91773

Los Angeles County (928) 970-2018

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 San Dimas Elite Senior Home LLC's NPI number?

The NPI number for San Dimas Elite Senior Home LLC is 1245136118. It was assigned to this organization in the NPPES registry on October 17, 2026.

Where is San Dimas Elite Senior Home LLC located?

San Dimas Elite Senior Home LLC is located at 747 Belleview Ave, San Dimas, CA 91773. The listed phone number is (901) 326-6666.

What is San Dimas Elite Senior Home LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for San Dimas Elite Senior Home LLC was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.