Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eagle Crest Assisted Living Home, LLC

Organization Assisted Living Facility · NPI 1558140095

Eagle Crest Assisted Living Home, LLC is an Assisted Living Facility in Winchester, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

35111 Tavel St
Winchester, CA 92596-4512
Phone: (951) 484-5960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1558140095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latonia Wilson — Licensee · (951) 484-5960
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address35111 Tavel St, Winchester, CA 92596-4512

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