Plumeria Homes

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PLUMERIA HOMES

Practice address

211 S Laurel Ave
Ontario, CA 91762-3833

Phone

(951) 255-1102

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

Miles Ballesteros

Title

Managing Partner

Phone

(951) 255-1102

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1124846571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S LAUREL AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623833",
            "telephone_number": "951-255-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S LAUREL AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623833",
            "telephone_number": "951-255-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUMERIA HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "951-255-1102"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Viviana Olivia Poli
• Allyson Pollard-Stubbs
• Amanda Pomerenke
• Pomona Community Health Center

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ontario, CA
• Providers in Ontario, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.