NPIMap

Organization Active NPI

Cvrrc MHS Inc.

  • Early Intervention Provider Agency
  • Colton, CA
National Provider Identifier
1124338934
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CVRRC MHS INC.
Practice address
1076 Santo Antonio Suite B
Colton, CA 92324
Phone
(909) 433-9824
Fax
(909) 433-9830
NPI assigned
Oct 14, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Jeanell Emond, PMNPI 1285965343
Title
Program Manager
Phone
(909) 433-9824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1076 Santo Antonio Suite B
Colton, CA 92324

Mailing address

1070 Santo Antonio Suite B
Colton, CA 92324

National Provider Directory

National Provider Directory

Locations

1070 Santo Antonio Ste B
Colton, CA 92324

1076 Santo Antonio Dr
Ste B
Colton, CA 92324
Phone (909) 433-9824

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1124338934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 SANTO ANTONIO SUITE B",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 SANTO ANTONIO SUITE B",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "telephone_number": "909-433-9824",
            "fax_number": "909-433-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVRRC MHS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "EMOND",
        "authorized_official_first_name": "JEANELL",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "909-433-9824",
        "authorized_official_credential": "PM"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.