PRIOR BOARD & CARE (NPI# 1336371061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336371061 |
| Entity Type | Organization |
| Organization Name | PRIOR BOARD & CARE |
| Practice Address |
6121 Jupiter Dr. Mira Loma CA 91752 |
| Mailing Address |
6121 Jupiter Mira Loma CA 91752 |
| Practice Telephone | 9516854912 |
| Practice Fax Number | 9516854912 |
| Mailing Telephone | 9516854912 |
| Mailing Fax Number | 9516854912 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |
| Authorized Official Name | MAE LOIS PRIOR (OWNER & LICENESSE) |
| Authorized Official Telephone | 9512055336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 330908249 | CA | Residential Treatment Facilities |
| Street Address |
6121 JUPITER DR. |
| City | MIRA LOMA |
| State | CA |
| Zip Code | 91752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673462 | National Vision Inc | Optometrist | 12585 Cantu Galleano Ranch Road, Suite 120, Eastvale, CA 91752 | 2019-08-05 |
| 1720645328 | Creative Child and Family Services, Inc. | Family Medicine | 7049 Ohio River Dr, Eastvale, CA 91752 | 2019-05-20 |
| 1124681150 | Sleep Dme Management, Inc. | Home Health Aide | 12523 Limonite Avenie, #440-341, Mira Loma, CA 91752 | 2019-04-16 |
| 1255835179 | Costco Wholesale Corporation | Hearing Aid Equipment | 5030 Hamner Ave., Eastvale, CA 91752 | 2018-03-23 |
| 1487171963 | Devin Davis | Behavioral Analyst | 6632 Leanne St., Mira Loma, CA 91752 | 2017-08-25 |
| 1063946226 | Help Me Rhonda | Point of Service | 5919 Sunny Circle, Mira Loma, CA 91752 | 2017-04-14 |
| 1477930949 | Avinash Mirle Chandrashekar | Speech-Language Pathologist | 5725 Darbreak Dr, Apt C, Eastvale, CA 91752 | 2015-05-04 |
| 1245497288 | Elizabeth E Williamson | Dentist | 12571 Limonite Avenue, Suite 230, Mira Loma, CA 91752 | 2008-05-19 |
| 1003099425 | Dhama and Rodgers Dental Corporation | Dentist | 6445 Pat's Ranch Road, Ste G, Mira Loma, CA 91752 | 2007-12-07 |
| 1144830571 | Huey Q Tran, Dds, Inc. | Dentist | 12363 Limonite Ave Ste 960, Eastvale, CA 91752 | 2020-07-31 |
| Find all providers in zip 91752 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776323 | Calston Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 44661 Calston Ave, Lancaster, CA 93535-3430 | 2020-09-25 |
| 1457966822 | Invincible Villas, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27539 Glasser Ave, Canyon Country, CA 91351-2039 | 2020-09-12 |
| 1528671633 | Eliaa, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1229 Kelley Avenue, Corona, CA 92882-4207 | 2020-08-28 |
| 1902417090 | Kavere Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 531 N Mills Ave, Lodi, CA 95242-2220 | 2020-08-12 |
| 1568071488 | Jnp Residential | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1518 S Wadsworth Ave, Compton, CA 90220-3951 | 2020-07-27 |
| 1043833734 | E&s Jensen Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9629 Ridgerock Dr, Elk Grove, CA 95624-4461 | 2020-05-28 |
| 1124663588 | The Caring Bunch | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4355 Sepulveda Blvd Apt 125, Sherman Oaks, CA 91403-3911 | 2019-11-08 |
| 1821655507 | Creative Lifestyles Home Care Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1022 W Florence Ave, Los Angeles, CA 90044-2442 | 2019-05-28 |
| 1386160562 | Blueprint Development Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2501 Sycamore Ln, Palmdale, CA 93551-1518 | 2017-08-18 |
| 1427592963 | Carissa Group Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1048 Stowell Ranch Cir, Corona, CA 92881-4739 | 2016-12-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.