NPIMap

Organization Active NPI

Turquoise Division

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rancho Cucamonga, CA
National Provider Identifier
1003068479
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
240000825 Issued in CA
Legal business name
TURQUOISE DIVISION
Practice address
5535 Turquoise Ave
Rancho Cucamonga, CA 91701-1822
Phone
(909) 899-5046
Fax
(909) 463-2005
NPI assigned
Oct 16, 2008
Organization subpart
Yes
Parent organization
MONTE VISTA CHILD CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deisy Odett Mendoza
Title
Executive Director
Phone
(909) 912-9314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 240000825 CA Primary

Addresses

Primary practice location

5535 Turquoise Ave
Rancho Cucamonga, CA 91701-1822

Mailing address

13342 Victoria St
Rancho Cucamonga, CA 91739-2020
Phone (909) 899-5046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G394

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TURQUOISE DIVISION
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 26, 2001
Last certification
Mar 4, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
5535 Turquoise Avenue
Rancho Cucamonga, CA 91701

National Provider Directory

National Provider Directory
Tax ID family
Victoria Division19 organizations share this tax ID, including this one
Part of
Victoria Division

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1003068479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13342 VICTORIA ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392020",
            "telephone_number": "909-899-5046",
            "fax_number": "909-463-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 TURQUOISE AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917011822",
            "telephone_number": "909-899-5046",
            "fax_number": "909-463-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURQUOISE DIVISION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTE VISTA CHILD CARE CENTER",
        "enumeration_date": "2008-10-16",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "DEISY",
        "authorized_official_middle_name": "ODETT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-912-9314"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "240000825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.