Healthcare Provider Details

I. General information

NPI: 1235080151
Provider Name (Legal Business Name): MONU-MENTAL CLHF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/06/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24353 DUNLAVY CT
MORENO VALLEY CA
92557-6370
US

IV. Provider business mailing address

24353 DUNLAVY CT
MORENO VALLEY CA
92557-6370
US

V. Phone/Fax

Practice location:
  • Phone: 951-290-0043
  • Fax:
Mailing address:
  • Phone: 951-290-0043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ALVIN ADAMS
Title or Position: ADMINISTRATOR
Credential:
Phone: 323-590-3403