NPIMap

Organization Active NPI

Consumer's Choice Home, LLC.

Doing business as Kate's Home Program

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rancho Cucamonga, CA
National Provider Identifier
1245460377
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
366411417 Issued in CA
Legal business name
CONSUMER'S CHOICE HOME, LLC.
Doing business as
Kate's Home Program
Practice address
13100 Riesling Dr
Rancho Cucamonga, CA 91739-9406
Phone
(909) 899-5773
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Mr. Orville Castelar Dy
Title
Member
Phone
(909) 899-5773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 366411417 CA Primary

Addresses

Primary practice location

13100 Riesling Dr
Rancho Cucamonga, CA 91739-9406

Mailing address

PO Box 86
Rancho Cucamonga, CA 91739-0086
Phone (909) 899-5773

Other names 1

  • Kate's Home Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Consumer's Choice Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1245460377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917390086",
            "telephone_number": "909-899-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 RIESLING DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399406",
            "telephone_number": "909-899-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUMER'S CHOICE HOME, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "DY",
        "authorized_official_first_name": "ORVILLE",
        "authorized_official_middle_name": "CASTELAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "909-899-5773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "366411417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kate's Home Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.