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OLIVE CREST NPI 1578060919


NPI Information

NPI: 1578060919
Provider Name: OLIVE CREST

Other Name: CYS OLIVE CREST WHEELER HOUSE

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
159 N WHEELER ST
ORANGE, CA
ZIP 92869
Phone: (714) 532-5096
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OLIVE CREST is a residential treatment facility emotionally disturbed children in Orange, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. OLIVE CREST NPI is 1578060919. The provider is registered as an organization entity type.
The provider Other Name Is Cys Olive Crest Wheeler House.

The provider's business location address is:

159 N WHEELER ST
ORANGE, CA
ZIP 92869-217
Phone: (714) 532-5096
Fax: (714) 532-4683

The provider's authorized official is Donald A. Verleur .
The authorized official title is Chief Executive Officer and has the following contact phone number (714) 543-5437.

The enumeration date for this NPI number is 4/11/2018 and was last updated on 4/11/2018.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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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