Ettie Lee Homes, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

ETTIE LEE HOMES, INC

Doing business as

Ettie Lee Youth and Family Services

Practice address

28721 Live Oak Canyon Rd
Redlands, CA 92373-7913

Phone

(909) 792-2137

Fax

(909) 798-0910

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Windy Luna Perez

Title

Qa Manager

Phone

(909) 620-2521

Specialties & licenses 1

Addresses

Other names 1

• Ettie Lee Youth and Family Services Doing business as

Tax ID family

Ettie Lee Homes Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Ettie Lee Homes, Inc

  dba Ettie Lee Youth and Family Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fontana, CA
  • NPI 1275167066
  NPD tax ID
• Ettie Lee Homes, Inc

  dba Ettie Lee Youth and Family Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bloomington, CA
  • NPI 1356975148
  NPD tax ID
• Ettie Lee Homes, Inc

  dba Ettie Lee Homes Pomona

  • Adolescent and Children Mental Health Clinic/Center
  • Pomona, CA
  • NPI 1992890057
  NPD tax ID

Practitioners 2

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.

• Brittney Williams, LMFT

  • Marriage & Family Therapist
  • Calimesa, CA
  • NPI 1912689696
  NPD
• Andrew Joseph Loera, M.S.

  • Marriage & Family Therapist
  • Santa Clara, CA
  • NPI 1477183887
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1174157960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E HOLT AVE STE B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675407",
            "telephone_number": "909-620-2521",
            "fax_number": "909-620-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28721 LIVE OAK CANYON RD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737913",
            "telephone_number": "909-792-2137",
            "fax_number": "909-798-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETTIE LEE HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "LUNA PEREZ",
        "authorized_official_first_name": "WINDY",
        "authorized_official_title_or_position": "QA MANAGER",
        "authorized_official_telephone_number": "909-620-2521"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ettie Lee Youth and Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ettie Lee Youth and Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Essex Services
• Rodolfo (Rudy) J Estanque, D.D.S.
• Agnes Arorong Esteva, AGACNP-BC
• Estey and Carpenter Dental Corporation (Estey & Carpenter Family Dental Practice)
• Mark Edward Estey, D.D.S.
• European Care Home, Inc
• Marissa Nonohe Eusebio
• Catherine Evans, CCC-SLP
• Christina Evans, LCSW
• Jacqueline Hae Yun Evans

• Emotionally Disturbed Childrens' Residential Treatment Facility in Redlands, CA
• Providers in Redlands, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.