OrganizationActive
Life Enhancement Center
NPI 1740428705 · Community/Behavioral Health Agency · Riverside, CA
Provider details
- NPI number
- 1740428705
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Keith Goshay, Cheif Operating Officer(951) 505-3552
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3595 University Ave Suite E
Riverside, CA 92501
Phone: (951) 505-3552
Fax: (951) 788-2527
Street-level locationGet directions
Mailing address
3595 University Ave Suite E
Riverside, CA 92501
Registry dates
- Enumerated
- 2009-01-29
- Last updated
- 2009-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.