HORRIGAN ENTERPRISES INC. KENYON HOUSE NPI 1285783191

NPI Information

  • NPI: 1285783191
  • Provider Name: HORRIGAN ENTERPRISES, INC., KENYON HOUSE
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 6979 MESADA ST
    ALTA LOMA, CA
    ZIP 91701
  • Phone: (909) 484-5561

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NPI Details

HORRIGAN ENTERPRISES, INC., KENYON HOUSE is an intermediate care facility mentally retarded in Alta Loma, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HORRIGAN ENTERPRISES, INC., KENYON HOUSE NPI is 1285783191. The provider is registered as an organization entity type.

The provider's business location address is:

6979 MESADA ST
ALTA LOMA, CA
ZIP 91701-251
Phone: (909) 484-5561

The provider's authorized official is Carol Tipton .
The authorized official title is Dir Of Admn Services and has the following contact phone number (909) 484-5561.

The enumeration date for this NPI number is 1/9/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesCALIFORNIAYes

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This page was last updated on: 11/21/2025

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