Peppermint Ridge in Corona - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Peppermint Ridge - NPI 1295957728
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 1295957728. 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 | 1295957728 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 825 Magnolia Ave |
|---|---|
| City | Corona |
| State | California (CA) |
| Post Code | 928043129 |
| 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 |
|---|---|---|---|
| LTC60227F | CA | CONNER RESIDENCE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peppermint Ridge by the Centers for Medicare & Medicaid Services?
The Peppermint Ridge has been issued the NPI (National Provider Identifier) 1295957728, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Peppermint Ridge?
The Peppermint Ridge is situated at 825 Magnolia Ave, in the city of Corona, state of CA, with the zip code 928043129.
What is Peppermint Ridge's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Peppermint Ridge's specialized field of practice is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320600000X.
On what date was the 1295957728 assigned to Peppermint Ridge?
The Peppermint Ridge was issued its 1295957728 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Peppermint Ridge most recently updated or refreshed?
The details pertaining to the Peppermint Ridge, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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