NPIMap

Organization Active NPI

Marcee Lynn Hirst

  • Intellectual Disabilities Intermediate Care Facility
  • Riverside, CA
National Provider Identifier
1033259767
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
250000728 Issued in CA
Legal business name
MARCEE LYNN HIRST
Practice address
11350 Bentley St
Riverside, CA 92505-2257
Phone
(951) 789-9698
NPI assigned
Feb 8, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Greg Hirst
Title
Owner
Phone
(951) 789-9698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 250000728 CA Primary

Addresses

Primary practice location

11350 Bentley St
Riverside, CA 92505-2257

Mailing address

PO Box 8175
Riverside, CA 92515-8175
Phone (951) 789-9698

Other identifiers 1

IdentifierTypeStateIssuer
LTC60864FMedicaidCA

Other names 1

  • Bentley House Other name

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033259767. Details of each certification follow.

  • CCN 55G192 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G192

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
BENTLEY HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 29, 1998
Last certification
Apr 22, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
11350 Bentley Street
Riverside, CA 92505

National Provider Directory

National Provider Directory
Tax ID family
Bentley House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1033259767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8175",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925158175",
            "telephone_number": "951-789-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 BENTLEY ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052257",
            "telephone_number": "951-789-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCEE LYNN HIRST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HIRST",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-789-9698"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "250000728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60864F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bentley House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.