VICTOR COMMUNITY SUPPORT SERVICES INC NPI 1497542393

NPI Information

  • NPI: 1497542393
  • Provider Name: VICTOR COMMUNITY SUPPORT SERVICES, INC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 325 W HOSPITALITY LN STE 112
    SAN BERNARDINO, CA
    ZIP 92408
  • Phone: (909) 522-4656

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NPI Details

VICTOR COMMUNITY SUPPORT SERVICES, INC is a community behavioral health in San Bernardino, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. VICTOR COMMUNITY SUPPORT SERVICES, INC NPI is 1497542393. The provider is registered as an organization entity type.

The provider's business location address is:

325 W HOSPITALITY LN STE 112
SAN BERNARDINO, CA
ZIP 92408-211
Phone: (909) 522-4656
Fax: (909) 763-5525

The provider's authorized official is Angie R Wiechert .
The authorized official title is Director Of Financial Analysis and has the following contact phone number (530) 230-1210.

The enumeration date for this NPI number is 4/23/2025 and was last updated on 4/23/2025.

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
1251S00000XCommunity/Behavioral HealthYes
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

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
101042OTHERCALIFORNIALEGAL ENTITY #

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: 3/30/2025

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