Garden Home Facility
Organization Active NPI Developmental Disabilities Clinic/Center · Alta Loma, CA
NPI 1154551570 · NPPES record last updated Jul 28, 2009
Key facts
- NPI
- 1154551570
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- License
- 366400113 (CA)
- Legal business name
- GARDEN HOME FACILITY
- Practice address
- 9212 Garden St
Alta Loma, CA 91701-4824 - Phone
- (909) 941-4449
- NPI assigned
- Jul 20, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- BRIDGES IN COMMUNICATIONS
Authorized official
- Name
- Sharon Spencer
- Title
- Administrator
- Phone
- (909) 941-4449
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Garden Home Facility
- Part of
- Garden Home Facility
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | 366400113 | CA | Yes |
Addresses
Primary practice location
9212 Garden St
Alta Loma, CA 91701-4824
Mailing address
9212 Garden St
Alta Loma, CA 91701-4824
Other providers in Alta Loma, CA
- Eric Franz Evenhuis
- Fields Comp. Youth Services, Inc.
- Mario Flores
- Reginald Brian Friesen
- Rosemary Jacqueline Garcia
- Gemmel Pharmacy of Alta Loma
- George J. Tao, DDS, Inc.
- Stephanie Andrea Gonzales
- Sylvia Graniello
- Michael Martin Grausam
All providers in Alta Loma, CA · Developmental Disabilities Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.