Eittol, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

EITTOL, INC.

Doing business as

Christopher Ranch

Practice address

1256 E Citrus Ave
Redlands, CA 92374-5331

Phone

(909) 335-3054

Fax

(909) 335-9744

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Snellings

Title

Chief Financial Officer

Phone

(909) 335-3054

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christopher Ranch Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215062104. Details of each certification follow.

• CCN 55G228 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G228

Legal name

CHRISTOPHER RANCH

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 23, 1998

Last certification

Nov 13, 2019

Beds

6

Ownership / control type

Other (specify)

Facility address

1256 East Citrus
Redlands, CA 92374

Tax ID family

Christopher Highland Ranch3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Eittol, Inc.

  dba Christopher Highland Ranch

  • Intellectual Disabilities Intermediate Care Facility
  • Redlands, CA
  • NPI 1457486110
  NPD tax ID
• Eittol, Inc.

  dba Christopher Ranch II

  • Intellectual Disabilities Intermediate Care Facility
  • Redlands, CA
  • NPI 1922133685
  NPD tax ID

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215062104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7680",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923750680",
            "telephone_number": "909-335-3054",
            "fax_number": "909-335-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 E CITRUS AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745331",
            "telephone_number": "909-335-3054",
            "fax_number": "909-335-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EITTOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNELLINGS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-335-3054",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60885F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christopher Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eclipsesurg Inc
• Carolyn R. Edwards
• Derek Ryan Edwards, AU.D.
• Mary Eguia, M.D.
• Jennifer Anne Ehteshami, PA-C
• Eittol, Inc. (Christopher Highland Ranch)
• Eittol, Inc. (Christopher Ranch II)
• Ekinomo Odufalu Dental Inc (tri-city family dental)
• Joyce Olufunmilola Ekong, CNS
• Ufan James Ekpo

• Intellectual Disabilities Intermediate Care Facility in Redlands, CA
• Providers in Redlands, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.