NPIMap

Organization Active NPI

Mountain View Child Care, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Loma Linda, CA
National Provider Identifier
1295864569
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
MOUNTAIN VIEW CHILD CARE, INC
Practice address
1886 S Lilac CT
Loma Linda, CA 92354-1759
Phone
(909) 796-6915
Fax
(909) 796-1285
NPI assigned
Mar 5, 2007
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
Joy Berkompas
Title
Ceo-President
Phone
(909) 796-6915

Specialties & licenses 1

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

Addresses

Primary practice location

1886 S Lilac CT
Loma Linda, CA 92354-1759

Mailing address

1720 Mountain View Ave
Loma Linda, CA 92354-1727
Phone (909) 796-6915

Other identifiers 1

IdentifierTypeStateIssuer
LTC80301FMedicaidCA

Other names 1

  • Lilac Care Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain View Child Care Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295864569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MOUNTAIN VIEW AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541727",
            "telephone_number": "909-796-6915",
            "fax_number": "909-796-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 S LILAC CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541759",
            "telephone_number": "909-796-6915",
            "fax_number": "909-796-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW CHILD CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERKOMPAS",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "909-796-6915"
    },
    "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": "LTC80301F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilac Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loma Linda, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.