=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023686839
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AKAHINA GROUP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/16/2021
-----------------------------------------------------
Last Update Date | 05/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25114 JEFFERSON AVE STE A
-----------------------------------------------------
City | MURRIETA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92562-1701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-434-7379
-----------------------------------------------------
Fax | 951-602-7757
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25114 JEFFERSON AVE STE A
-----------------------------------------------------
City | MURRIETA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92562-1701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-434-7379
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MRS. SANDRA PATRICIA ALVAREZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 951-434-7379
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 376J00000X
-----------------------------------------------------
Taxonomy Name | Homemaker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 385H00000X
-----------------------------------------------------
Taxonomy Name | Respite Care
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------