NPIMap

Organization Active NPI

G&C Swan Inc

  • Psychiatric Residential Treatment Facility
  • Ontario, CA
National Provider Identifier
1285079350
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
G&C SWAN INC
Practice address
1354 Carlos PL
Ontario, CA 91764-2310
Phone
(909) 241-7219
Fax
(909) 985-2316
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Mrs. Glenn Swanson, CADAC II, BS, MBA
Title
Ceo
Phone
(909) 241-7219

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary
Substance Abuse Rehabilitation Facility 324500000X 360075CP CA

Addresses

Primary practice location

1354 Carlos PL
Ontario, CA 91764-2310

Mailing address

333 E Arrow Hwy
#220
Upland, CA 91785-7088
Phone (909) 241-7219

Other names 1

  • HIS HOUSE Other name

National Provider Directory

National Provider Directory
Tax ID family
G C Swan Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

333 E Arrow Hwy
Unit 220
Upland, CA 91785
Phone (909) 736-6843

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1285079350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E ARROW HWY",
            "address_2": "#220",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917857088",
            "telephone_number": "909-241-7219",
            "fax_number": "909-985-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 CARLOS PL",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917642310",
            "telephone_number": "909-241-7219",
            "fax_number": "909-985-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G&C SWAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-241-7219",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CADAC II, BS, MBA"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "360075CP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIS HOUSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.