Provider Demographics
NPI:1316758709
Name:LATTER DAYS HELP FOR SENIORS
Entity type:Organization
Organization Name:LATTER DAYS HELP FOR SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KANTATA
Authorized Official - Middle Name:JANICE
Authorized Official - Last Name:SHONUYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-401-5435
Mailing Address - Street 1:PO BOX 890310
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92589-0310
Mailing Address - Country:US
Mailing Address - Phone:951-401-5435
Mailing Address - Fax:
Practice Address - Street 1:7000 INDIANA AVE STE 114
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4155
Practice Address - Country:US
Practice Address - Phone:951-289-9808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care