ROBILYN GUEST HOME INC. NPI 1558472019

NPI Information

NPI: 1558472019
Provider Name: ROBILYN GUEST HOME, INC.

Former Legal Business Name: DBA ROBILYN GUEST HOME IV

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
555 W SAN JOSE AVE
CLAREMONT, CA
ZIP 91711
Phone: (909) 621-0810
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ROBILYN GUEST HOME, 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. ROBILYN GUEST HOME, INC. NPI is 1558472019. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dba Robilyn Guest Home Iv.

The provider's business location address is:

555 W SAN JOSE AVE
CLAREMONT, CA
ZIP 91711
Phone: (909) 621-0810
Fax: (909) 625-4747

The provider's authorized official is Erlinda Reynolds .
The authorized official title is President and has the following contact phone number (562) 818-4179.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/17/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		960000523	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LTC60141I	MEDICAID	CALIFORNIA

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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