Lakeside Division
Intermediate care facility for individuals with intellectual disabilities in Riverside, CA, Medicare certification number 05G963.
Medicare certification
Provider of Services- CCN
- 05G963
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (proprietary)
- Participating since
- Mar 27, 1996
- Last certification
- Sep 9, 2025
- Beds
- 6
- Address
- 7910 Lakeside Drive
Riverside, CA 92509
(951) 685-8411
NPI records for this facility (CCN to NPI Mapping) 1
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Riverside, CA
- NPI 1164697199
Name & address match
Other intermediate care facilities for individuals with intellectual disabilities in Riverside, CA
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.