Provider Demographics
NPI:1790376648
Name:ELIAA, LLC
Entity Type:Organization
Organization Name:ELIAA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMIRRA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-656-7941
Mailing Address - Street 1:206 KNOX COURT
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-4831
Mailing Address - Country:US
Mailing Address - Phone:650-656-7941
Mailing Address - Fax:650-656-7941
Practice Address - Street 1:206 KNOX COURT
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-4831
Practice Address - Country:US
Practice Address - Phone:650-656-7941
Practice Address - Fax:650-656-7941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility