NPIMap

Organization Active NPI

Robinson House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Upland, CA
National Provider Identifier
1205472198
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ROBINSON HOUSE
Doing business as
Robinson House
Practice address
904 W 9TH St
Upland, CA 91786-4576
Phone
(951) 545-4462
Fax
(909) 577-0111
NPI assigned
Nov 26, 2019
Last updated
Nov 26, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
JANET'S ENTERPRISEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Mrs. Kathleen J Haywood
Title
Owner
Phone
(951) 545-4462

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

904 W 9TH St
Upland, CA 91786-4576

Mailing address

1476 W 9TH St Ste B1
Upland, CA 91786-5699
Phone (951) 545-4462

Other identifiers 2

IdentifierTypeStateIssuer
240000122MedicaidCA
24000122MedicaidCA

Other names 1

  • Robinson House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Janet's Enterprise Inc15 organizations share this tax ID, including this one
Part of
Janet's Enterprise Inc

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1205472198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 W 9TH ST STE B1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865699",
            "telephone_number": "951-545-4462",
            "fax_number": "909-981-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W 9TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864576",
            "telephone_number": "951-545-4462",
            "fax_number": "909-577-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JANET'S ENTERPRISE",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-545-4462",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240000122",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24000122",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robinson House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.