NPIMap

Organization Active NPI

New Beginnings Residential TF

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Perris, CA
National Provider Identifier
1235681701
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
336403968 Issued in CA
Legal business name
NEW BEGINNINGS RESIDENTIAL TF
Practice address
2579 Spectacular Bid St
Perris, CA 92571
Phone
(951) 943-5480
Fax
(951) 637-6758
NPI assigned
Oct 31, 2016
Organization subpart
Yes
Parent organization
NEW BEGINNING RESIDENTIAL TREATMENT FACILITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Gail D Lacy
Title
Executive Director
Phone
(951) 378-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 336403968 CA Primary

Addresses

Primary practice location

2579 Spectacular Bid St
Perris, CA 92571

Mailing address

PO Box 207
Perris, CA 92572-0207
Phone (951) 637-6747

Other names 1

  • New Beginnings - Raja Other name

National Provider Directory

National Provider Directory
Tax ID family
New Beginnings Residential TF3 organizations share this tax ID, including this one
Part of
New Beginnings Residential TF

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1235681701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925720207",
            "telephone_number": "951-637-6747",
            "fax_number": "951-637-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 SPECTACULAR BID ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "92571",
            "telephone_number": "951-943-5480",
            "fax_number": "951-637-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS RESIDENTIAL TF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW BEGINNING RESIDENTIAL TREATMENT FACILITIES",
        "enumeration_date": "2016-10-31",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-378-1992"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "336403968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beginnings - Raja",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.