Citadel Short Term Specialty Treatment Programs

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CITADEL SHORT TERM SPECIALTY TREATMENT PROGRAMS

Practice address

568 N Mountain View Ave
San Bernardino, CA 92401-1231

Phone

(909) 992-0929

NPI assigned

Jan 12, 2019

Organization subpart

Yes

Parent organization

CITADEL COMMUNITY CARE FACILITIESAs reported in NPPES

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

Authorized official

Name

Annette Punimata

Title

Executive Director

Phone

(909) 992-0929

Specialties & licenses 5

Addresses

Part of

Citadel Community Care

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Citadel Community Care Facilities

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1134693153
  NPPES parent name

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1043784069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 N MOUNTAIN VIEW AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011231",
            "telephone_number": "909-992-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 N MOUNTAIN VIEW AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011231",
            "telephone_number": "909-992-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL SHORT TERM SPECIALTY TREATMENT PROGRAMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITADEL COMMUNITY CARE FACILITIES",
        "enumeration_date": "2019-01-12",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "PUNIMATA",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-992-0929"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Cisneros
• Evelyn Diane Cisneros
• Irma Alejandra Cisneros
• Citadel Community Care Facilities
• Citadel Community of Care
• Citibest Advanced Nursing Services, P.C
• Citibest Healthcare Services LLC
• Citrus Senior Care
• Clarity Hearing AIDS & Services
• Ann Marie Monica Clark

• Mental Illness Community Based Residential Treatment Facility in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.