NPIMap

Organization Active NPI

Mountain View Child Care, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Loma Linda, CA
National Provider Identifier
1003945189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MOUNTAIN VIEW CHILD CARE, INC.
Practice address
1894 Elm Ave
Loma Linda, CA 92354-1791
Phone
(909) 769-9615
Fax
(909) 796-1285
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Doug Padgett
Title
Ceo-President
Phone
(909) 796-6915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

1894 Elm Ave
Loma Linda, CA 92354-1791

Mailing address

1720 Mountain View Ave
Loma Linda, CA 92354-1727
Phone (909) 796-6915

Other identifiers 1

IdentifierTypeStateIssuer
LTC80319FMedicaidCA

Other names 1

  • Elm Care Home Doing business as

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 55G425

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
ELM DIVISION
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Mar 4, 2002
Last certification
Mar 18, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
1894 S Elm Avenue
Loma Linda, CA 92354

National Provider Directory

National Provider Directory
Tax ID family
Mountain View Child Care Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003945189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MOUNTAIN VIEW AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541727",
            "telephone_number": "909-796-6915",
            "fax_number": "909-796-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 ELM AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541791",
            "telephone_number": "909-769-9615",
            "fax_number": "909-796-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW CHILD CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "909-796-6915"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80319F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elm Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.