Organization Active NPI

Valley Star Behavioral Health, Inc.

Doing business as Valley Star CRT - Morongo Oasis

  • Mental Illness Community Based Residential Treatment Facility
  • Joshua Tree, CA
National Provider Identifier
1346737764
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
VALLEY STAR BEHAVIORAL HEALTH, INC.
Doing business as
Valley Star CRT - Morongo Oasis
Practice address
60805 29 Palms Highway
Joshua Tree, CA 92252-1943
Phone
(760) 974-5990
NPI assigned
Apr 20, 2018
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Kent Dunlap
Title
President and Chief Executive Offi
Phone
(310) 221-6336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

60805 29 Palms Highway
Joshua Tree, CA 92252-1943

Mailing address

1501 Hughes Way Ste 150
Long Beach, CA 90810-1878
Phone (310) 221-6336

Other names 1

  • Valley Star CRT - Morongo Oasis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210630000796 CA Part B Supplier - Clinic/Group Practice 8628479441 Receives reassigned benefits from 2 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Downey, CA; Yucca Valley, CA; Victorville, CA; San Bernardino, CA; Los Angeles, CA; Joshua Tree, CA; Sylmar, CA

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Valley Star Behavioral Health 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

60805 29 Palms Hwy
Joshua Tree, CA 92252
Phone (760) 228-6391

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1346737764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 HUGHES WAY STE 150",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908101878",
            "telephone_number": "310-221-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60805 29 PALMS HIGHWAY",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922521943",
            "telephone_number": "760-974-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY STAR BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF EXECUTIVE OFFI",
        "authorized_official_telephone_number": "310-221-6336"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Star CRT - Morongo Oasis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joshua Tree, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.