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ROBINSON HOUSE NPI 1205472198


NPI Information

NPI: 1205472198
Provider Name: ROBINSON HOUSE
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
904 W 9TH ST
UPLAND, CA
ZIP 91786
Phone: (951) 545-4462
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ROBINSON HOUSE is a residential treatment facility, intellectual and/or developmental disabilities in Upland, CA. The provider is 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. ROBINSON HOUSE NPI is 1205472198. The provider is registered as an organization entity type.

The provider's business location address is:

904 W 9TH ST
UPLAND, CA
ZIP 91786-576
Phone: (951) 545-4462
Fax: (909) 577-0111

The provider's authorized official is Kathleen J Haywood .
The authorized official title is Owner and has the following contact phone number (951) 545-4462.

The enumeration date for this NPI number is 11/26/2019 and was last updated on 11/26/2019.


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 DisabilitiesNo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental 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
1240000122MEDICAIDCALIFORNIA
224000122MEDICAIDCALIFORNIA

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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