NPIMap

Organization Active NPI

Immaculate Care Center,Inc

  • Community/Behavioral Health Agency
  • Moreno Valley, CA
National Provider Identifier
1265728901
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IMMACULATE CARE CENTER,INC
Practice address
24384 Sunnymead Blvd
Suite 240
Moreno Valley, CA 92553-3069
Phone
(951) 243-0303
Fax
(951) 243-3006
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Ms. Doryce M Aguirre, RAS
Title
Administrative Director
Phone
(951) 243-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

24384 Sunnymead Blvd
Suite 240
Moreno Valley, CA 92553-3069

Mailing address

24384 Sunnymead Blvd
Suite 240
Moreno Valley, CA 92553-3069
Phone (951) 243-0303

National Provider Directory

National Provider Directory
Tax ID family
Immaculate Care Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

24384 Sunnymead Blvd
Ste 240
Moreno Valley, CA 92553
Phone (951) 243-0303

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1265728901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24384 SUNNYMEAD BLVD",
            "address_2": "SUITE 240",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533069",
            "telephone_number": "951-243-0303",
            "fax_number": "951-243-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24384 SUNNYMEAD BLVD",
            "address_2": "SUITE 240",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533069",
            "telephone_number": "951-243-0303",
            "fax_number": "951-243-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE CARE CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "DORYCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "951-243-0303",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.