NPIMap

Organization Active NPI

Angel View Crippled Childrens Foundation Inc

Doing business as Friedman House

  • Intellectual Disabilities Intermediate Care Facility
  • Desert Hot Springs, CA
National Provider Identifier
1285771055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ANGEL VIEW CRIPPLED CHILDRENS FOUNDATION INC
Doing business as
Friedman House
Practice address
12379 Miracle Hill Road
Desert Hot Springs, CA 92240-4010
Phone
(760) 329-6471
Fax
(760) 329-9024
NPI assigned
Jan 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David C Thornton
Title
Executive Director
Phone
(760) 329-6471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

12379 Miracle Hill Road
Desert Hot Springs, CA 92240-4010

Mailing address

12379 Miracle Hill Road
Desert Hot Springs, CA 92240-4010
Phone (760) 329-6471

Other identifiers 1

IdentifierTypeStateIssuer
LTC60463FMedicaidCA

Other names 1

  • Friedman House Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1068365Angel View, Inc12379 Miracle Hill Road, Desert Hot Springs, CA 92240Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Angel View Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

12379 Miracle Hill Rd
Dsrt Hot Spgs, CA 92240
Phone (760) 251-3918

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285771055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12379 MIRACLE HILL ROAD",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922404010",
            "telephone_number": "760-329-6471",
            "fax_number": "760-329-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12379 MIRACLE HILL ROAD",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922404010",
            "telephone_number": "760-329-6471",
            "fax_number": "760-329-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL VIEW CRIPPLED CHILDRENS FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-329-6471",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60463F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friedman House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desert Hot Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.