Provider Demographics
NPI:1023686839
Name:AKAHINA GROUP
Entity type:Organization
Organization Name:AKAHINA GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-434-7379
Mailing Address - Street 1:25114 JEFFERSON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-1701
Mailing Address - Country:US
Mailing Address - Phone:951-434-7379
Mailing Address - Fax:
Practice Address - Street 1:25114 JEFFERSON AVE STE A
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-1701
Practice Address - Country:US
Practice Address - Phone:951-434-7379
Practice Address - Fax:951-602-7757
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AKAHINA GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-16
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker
No385H00000XRespite Care FacilityRespite Care