Organization Active NPI

Mainstream Lifestyles, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Moreno Valley, CA
National Provider Identifier
1174315519
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
MAINSTREAM LIFESTYLES, INC.
Practice address
11206 Raymond Rd
Moreno Valley, CA 92555-6589
Phone
(951) 333-4893
NPI assigned
May 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Lorraine Von DeauxpletteNPI 1154113587
Title
Ceo
Phone
(951) 333-4893

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
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

11206 Raymond Rd
Moreno Valley, CA 92555-6589

Mailing address

1887 Business Center Dr # 6a
San Bernardino, CA 92408-3463
Phone (951) 333-4893

National Provider Directory

National Provider Directory

Locations

1887 Business Center Dr
#6A
San Bernardino, CA 92408
Phone (951) 333-4893

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1174315519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 BUSINESS CENTER DR # 6A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083463",
            "telephone_number": "951-333-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11206 RAYMOND RD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556589",
            "telephone_number": "951-333-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM LIFESTYLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "VON DEAUXPLETTE",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-333-4893"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "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 May 21, 2025; 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.