NPIMap

Organization Active NPI

All of God's Children's Group Home

  • Community/Behavioral Health Agency
  • Moreno Valley, CA
National Provider Identifier
1174035430
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALL OF GOD'S CHILDREN'S GROUP HOME
Practice address
29019 Carillo CT
Moreno Valley, CA 92555-6501
Phone
(951) 488-0677
Fax
(951) 789-1010
NPI assigned
Oct 26, 2017
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Mrs. Cheryl Jean WilliamsonNPI 1154951507
Title
President
Phone
(951) 232-3062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

29019 Carillo CT
Moreno Valley, CA 92555-6501

Mailing address

29019 Carillo CT
Moreno Valley, CA 92555-6501
Phone (951) 232-3062

National Provider Directory

National Provider Directory
Tax ID family
All of God's Children's Group Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1174035430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29019 CARILLO CT",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556501",
            "telephone_number": "951-232-3062",
            "fax_number": "951-789-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29019 CARILLO CT",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556501",
            "telephone_number": "951-488-0677",
            "fax_number": "951-789-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL OF GOD'S CHILDREN'S GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-232-3062",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.