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CASA ROSE VILLA INC. NPI 1750511028


NPI Information

NPI: 1750511028
Provider Name: CASA ROSE VILLA INC.

Doing Business As: ROSE VILLA

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
9204 APRICOT AVE
ALTA LOMA, CA
ZIP 91701
Phone: (909) 989-4887
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CASA ROSE VILLA INC. is a residential treatment facility, intellectual and/or developmental disabilities in Alta Loma, 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. CASA ROSE VILLA INC. NPI is 1750511028. The provider is registered as an organization entity type.
The provider Is Doing Business As Rose Villa.

The provider's business location address is:

9204 APRICOT AVE
ALTA LOMA, CA
ZIP 91701-404
Phone: (909) 989-4887

The provider's authorized official is Lynn Mcguire .
The authorized official title is Owner and has the following contact phone number (909) 730-0391.

The enumeration date for this NPI number is 7/21/2009 and was last updated on 7/21/2009.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities366405874CALIFORNIAYes

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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