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MONTE VISTA CHILD CARE CENTER INC NPI 1386772796


NPI Information

NPI: 1386772796
Provider Name: MONTE VISTA CHILD CARE CENTER INC

Doing Business As: FORBES DIVISION

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
2472 FORBES AVE
CLAREMONT, CA
ZIP 91711
Phone: (909) 624-2774
Get Directions

MONTE VISTA CHILD CARE CENTER INC is an intermediate care facility mentally retarded in Claremont, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MONTE VISTA CHILD CARE CENTER INC NPI is 1386772796. The provider is registered as an organization entity type.
The provider Is Doing Business As Forbes Division.

The provider's business location address is:

2472 FORBES AVE
CLAREMONT, CA
ZIP 91711-717
Phone: (909) 624-2774
Fax: (909) 624-6014

The provider's authorized official is Michelle Clarke .
The authorized official title is Director Of Operations and has the following contact phone number (909) 624-2774.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LTC80255FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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