Provider Type Icon

NORMAL LIFE OF CALIFORNIA INC. NPI 1962530220


NPI Information

NPI: 1962530220
Provider Name: NORMAL LIFE OF CALIFORNIA, INC.

Other Name: OCCIDENTAL HOUSE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1040 OCCIDENTAL DRIVE
CLAREMONT, CA
ZIP 91711
Phone: (714) 537-3252
Get Directions

NORMAL LIFE OF CALIFORNIA, 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. NORMAL LIFE OF CALIFORNIA, INC. NPI is 1962530220. The provider is registered as an organization entity type.
The provider Other Name Is Occidental House.

The provider's business location address is:

1040 OCCIDENTAL DRIVE
CLAREMONT, CA
ZIP 91711
Phone: (714) 537-3252

The provider's authorized official is Angie Mattingly .
The authorized official title is Mgr Provider Enrollment and has the following contact phone number (502) 394-2100.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 3/15/2024.


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
1LTC80280FMEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.