Healthcare Provider Details

I. General information

NPI: 1235053786
Provider Name (Legal Business Name): EFFEL LLC DBA EFFEL MEDICAL RESPITE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58424 CANTERBURY ST
YUCCA VALLEY CA
92284-8648
US

IV. Provider business mailing address

PO BOX 10384
MORENO VALLEY CA
92552-0384
US

V. Phone/Fax

Practice location:
  • Phone: 951-965-9330
  • Fax:
Mailing address:
  • Phone: 951-965-9330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: FELICIA IGBINOSA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 951-965-9330