Healthcare Provider Details

I. General information

NPI: 1053283598
Provider Name (Legal Business Name): HEALING SANCTUM-ELSINORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 ELSINORE RD
RIVERSIDE CA
92506-1547
US

IV. Provider business mailing address

2545 ELSINORE RD
RIVERSIDE CA
92506-1547
US

V. Phone/Fax

Practice location:
  • Phone: 562-725-6615
  • Fax: 562-354-6321
Mailing address:
  • Phone: 562-725-6615
  • Fax: 562-354-6321

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: ARLENEDAL PINCHES
Title or Position: CEO
Credential:
Phone: 415-640-2838