Habitat Health West Covina
NPI 1104707157ActiveOrganization· PACE Provider Organization· West Covina, CA
PACE Provider Organization in West Covina, California, registered in NPPES in September 2025. The authorized official on file is Victoria Cleveland, Manager, New Markets.
Overview
| NPI | 1104707157 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2025 |
| Last updated in NPPES | Sep 8, 2025 |
| Certified by provider | Sep 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other PACE Provider Organization providers in West Covina
- 1992525497