Healthcare Provider Details

I. General information

NPI: 1356263826
Provider Name (Legal Business Name): ELIJAH'S OPEN ARMS FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23890 ALESSANDRO BLVD STE E2
MORENO VALLEY CA
92553-8801
US

IV. Provider business mailing address

23890 ALESSANDRO BLVD STE E2
MORENO VALLEY CA
92553-8801
US

V. Phone/Fax

Practice location:
  • Phone: 951-295-9009
  • Fax:
Mailing address:
  • Phone: 951-295-9009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: CELIA M SPEARS
Title or Position: PRESIDENT & FOUNDER
Credential:
Phone: 951-494-1234