Provider Demographics
NPI:1609193796
Name:EMCL ALLIANCE, LLC
Entity Type:Organization
Organization Name:EMCL ALLIANCE, LLC
Other - Org Name:ALLIANCE EL MONTE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO - MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELIACIM
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-444-2535
Mailing Address - Street 1:5043 PECK RD
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-1423
Mailing Address - Country:US
Mailing Address - Phone:626-579-1602
Mailing Address - Fax:626-579-6064
Practice Address - Street 1:5043 PECK RD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-1423
Practice Address - Country:US
Practice Address - Phone:626-579-1602
Practice Address - Fax:626-579-6064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA555374Medicare Oscar/Certification