Organization Active NPI

Community Services of America Developmental Programs

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Covina, CA
National Provider Identifier
1205508033
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
COMMUNITY SERVICES OF AMERICA DEVELOPMENTAL PROGRAMS
Practice address
4739 N Edenfield Ave
Covina, CA 91722-2743
Phone
(562) 508-2007
NPI assigned
Sep 30, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Jennifer Oglesby, M.ED, BCBA
Title
Ceo
Phone
(562) 508-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

4739 N Edenfield Ave
Covina, CA 91722-2743

Mailing address

9223 Hidden Farm Rd
Rancho Cucamonga, CA 91737-1535
Phone (562) 508-2007

Other practice location 1

1 Rising Hill Rd
Pomona, CA 91766-4960
Phone (562) 508-2007

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address risinghill1@outlook.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1205508033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9223 HIDDEN FARM RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917371535",
            "telephone_number": "562-508-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 N EDENFIELD AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222743",
            "telephone_number": "562-508-2007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Rising Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917664960",
            "country_code": "US",
            "telephone_number": "562-508-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY SERVICES OF AMERICA DEVELOPMENTAL PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "OGLESBY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-508-2007",
        "authorized_official_credential": "M.ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "risinghill1@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Rising Hill Rd",
            "city": "Pomona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917664960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.