NPIMap

Organization Active NPI

A Coming of Age to Adulthood, Inc

Doing business as A Coming of Age Foster Family Agency and Counseling Center

  • Community/Behavioral Health Agency
  • Riverside, CA
National Provider Identifier
1073070686
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A COMING OF AGE TO ADULTHOOD, INC
Doing business as
A Coming of Age Foster Family Agency and Counseling Center
Practice address
7899 Mission Grove Pkwy S Ste a
Riverside, CA 92508-5062
Phone
(951) 776-9223
Fax
(951) 776-9250
NPI assigned
Mar 1, 2019
Last updated
Oct 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Mr. David Lamarr McCoy, M.A.
Title
Ceo
Phone
(951) 488-8053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

7899 Mission Grove Pkwy S Ste a
Riverside, CA 92508-5062

Mailing address

PO Box 9640
Moreno Valley, CA 92552-9640
Phone (951) 776-9223

Other names 1

  • A Coming of Age Foster Family Agency and Counseling Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1073070686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9640",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925529640",
            "telephone_number": "951-776-9223",
            "fax_number": "951-776-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7899 MISSION GROVE PKWY S STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085062",
            "telephone_number": "951-776-9223",
            "fax_number": "951-776-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A COMING OF AGE TO ADULTHOOD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAMARR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-488-8053",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Coming of Age Foster Family Agency and Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.