Peppermint Ridge in Corona - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Peppermint Ridge - NPI 1689896813
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 1689896813. 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 3512737320 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 | 3512737320 |
| 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 | 1689896813 |
|---|---|
| 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 | 928793129 |
| Phone Number | 3512737320 |
| 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 |
|---|---|---|---|
| LTC60245F | CA | GARRISON HOUSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Peppermint Ridge by the Centers for Medicare & Medicaid Services?
The Peppermint Ridge has been assigned the NPI (National Provider Identifier) 1689896813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Peppermint Ridge's facilities are geographically located?
The facilities of Peppermint Ridge are physically situated at the following location: 825 Magnolia Ave, Corona, CA, 928793129.
What is Peppermint Ridge's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peppermint Ridge is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689896813 to Peppermint Ridge?
The Centers for Medicare & Medicaid Services assigned the 1689896813 to Peppermint Ridge on 2007-05-03.
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.
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