CITRUS BREEZE VILLA LLC
NPI 1770304792
Assisted Living Facility in West Covina, CA

Q: What is Citrus Breeze Villa LLC's NPI number?

The NPI number for Citrus Breeze Villa LLC is 1770304792. It was assigned to this organization in the NPPES registry on October 22, 2024.

Q: What is Citrus Breeze Villa LLC's specialty?

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

Active since October 22, 2024

1009 S CITRUS ST, WEST COVINA, CA 91791(714) 423-4629 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Citrus Breeze Villa Llc NPPES

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

CITRUS BREEZE VILLA LLC (NPI 1770304792) is a healthcare organization registered as an assisted living facility in West Covina, California and active in the NPI registry since October 2024. The organization lists Yom Tekesta, Licensee, as its authorized official.

NPPES Registry Identity

NPI1770304792

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCITRUS BREEZE VILLA LLC

Location Address1009 S CITRUS STWest Covina, CA 91791-3403

Mailing Address1009 S Citrus StWest Covina, CA 91791-3403 · (714) 423-4629

Phone(714) 423-4629

Organization SubpartNo

Authorized OfficialYom TekestaLicensee · (714) 423-4629

Enumeration DateOctober 22, 2024

NPPES CertifiedOctober 22, 2024

✔ NPI 1770304792 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.

1009 S CITRUS ST, West Covina, CA 91791

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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.

REGAL SENIOR LIVING CORPORATION

Respite Care

1009 S CITRUS ST
WEST COVINA, CA 91791

Los Angeles County (626) 339-5402

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 Citrus Breeze Villa LLC's NPI number?

The NPI number for Citrus Breeze Villa LLC is 1770304792. It was assigned to this organization in the NPPES registry on October 22, 2024.

Where is Citrus Breeze Villa LLC located?

Citrus Breeze Villa LLC is located at 1009 S Citrus St, West Covina, CA 91791. The listed phone number is (714) 423-4629.

What is Citrus Breeze Villa 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 Citrus Breeze Villa LLC was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.