Peppermint Ridge in Corona - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Peppermint Ridge - NPI 1083827109
Peppermint Ridge is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Corona, California. Peppermint Ridge practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Peppermint Ridge is 1083827109. The last update date is 2020-08-22.
Peppermint Ridge's current location address is 825 Magnolia Ave, Corona, California. You can contact this provider via phone number 9512737320 and fax number 9517370726. The mailing address for Peppermint Ridge is 825 Magnolia Ave, Corona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peppermint Ridge |
|---|---|
| Address | 825 Magnolia Ave, Corona, California |
| Phone Number | 9512737320 |
| Fax Number | 9517370726 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Garrett A. John |
| Credentials | M.S.W. |
| Telephone Number | 9512737320 |
NPI Number Detail
| NPI Number | 1083827109 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 825 Magnolia Ave |
|---|---|
| City | Corona |
| State | California (CA) |
| Post Code | 928793129 |
| Phone Number | 9512737320 |
| Fax Number | 9517370726 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC60021F | CA | DEL PARK MANOR |
Post Comment/ Review Below
What is the Peppermint Ridge's unique identification number?
The Peppermint Ridge has been assigned the NPI (National Provider Identifier) Number 1083827109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Peppermint Ridge is physically located?
The Peppermint Ridge is physically situated at the following address: 825 Magnolia Ave, Corona, CA, 928793129.
What is the area of specialization for Peppermint Ridge, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Peppermint Ridge is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083827109 to Peppermint Ridge?
The Centers for Medicare & Medicaid Services assigned the 1083827109 to Peppermint Ridge on 2007-05-07.
As of what date was the information pertaining to Peppermint Ridge, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Peppermint Ridge, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.