NPIMap

Organization Active NPI

Horrigan Enterprises, Inc., Quartz House

  • Intellectual Disabilities Intermediate Care Facility
  • La Verne, CA
National Provider Identifier
1417006347
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
HORRIGAN ENTERPRISES, INC., QUARTZ HOUSE
Practice address
4340 Fig Cir
La Verne, CA 91750-2840
Phone
(909) 484-5561
NPI assigned
Jan 9, 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
Carol Tipton
Title
Dir of Admn Services
Phone
(909) 484-5561

Specialties & licenses 1

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

Addresses

Primary practice location

4340 Fig Cir
La Verne, CA 91750-2840

Mailing address

4340 Fig Cir
La Verne, CA 91750-2840
Phone (909) 484-5561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417006347. Details of each certification follow.

  • CCN 05G525 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G525

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
QUARTZ HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jul 15, 1991
Last certification
Apr 9, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
4340 Fig Circle
La Verne, CA 91750

National Provider Directory

National Provider Directory
Tax ID family
Horrigan Enterprises Inc Newbury House19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417006347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 FIG CIR",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502840",
            "telephone_number": "909-484-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 FIG CIR",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502840",
            "telephone_number": "909-484-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORRIGAN ENTERPRISES, INC., QUARTZ HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIR OF ADMN SERVICES",
        "authorized_official_telephone_number": "909-484-5561"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

Verify at the official NPI Registry.