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PURPOSELY CHOSEN INC. NPI 1689117327


NPI Information

NPI: 1689117327
Provider Name: PURPOSELY CHOSEN, INC.

Doing Business As: BORN FOR NIA MATERNITY HOME

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1410 3RD ST
SUITE 2
RIVERSIDE, CA
ZIP 92507
Phone: (909) 471-0697
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PURPOSELY CHOSEN, INC. is a residential treatment facility emotionally disturbed children in Riverside, 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. PURPOSELY CHOSEN, INC. NPI is 1689117327. The provider is registered as an organization entity type.
The provider Is Doing Business As Born For Nia Maternity Home.

The provider's business location address is:

1410 3RD ST
SUITE 2
RIVERSIDE, CA
ZIP 92507-482
Phone: (909) 471-0697
Fax: (760) 302-7607

The provider's authorized official is Dretona Tenese Maddox .
The authorized official title is Executive Director and has the following contact phone number (909) 471-0697.

The enumeration date for this NPI number is 11/29/2016 and was last updated on 8/11/2021.


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
1251B00000XCase ManagementNo
2251J00000XNursing CareNo
3251K00000XPublic Health or WelfareNo
4251S00000XCommunity/Behavioral HealthNo
5322D00000XResidential 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: 11/14/2023

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.