Organization Active NPI

A Peterson Rcfe LLC

  • Assisted Living Facility
  • Rancho Mirage, CA
National Provider Identifier
1255226932
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
A PETERSON RCFE LLC
Practice address
5 Shasta Lake Dr
Rancho Mirage, CA 92270-5825
Phone
(760) 464-0882
NPI assigned
Jun 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Terrye PetersonNPI 1649576349
Title
Licensee
Phone
(760) 464-0882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5 Shasta Lake Dr
Rancho Mirage, CA 92270-5825

Mailing address

5 Shasta Lake Dr
Rancho Mirage, CA 92270-5825
Phone (760) 464-0882

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1255226932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHASTA LAKE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705825",
            "telephone_number": "760-464-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHASTA LAKE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705825",
            "telephone_number": "760-464-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PETERSON RCFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "TERRYE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "760-464-0882"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.