Carissa Group Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CARISSA GROUP INC.

Doing business as

Carissa House

Practice address

1048 Stowell Ranch Cir
Corona, CA 92881-4739

Phone

(909) 815-7412

Fax

(951) 278-2957

NPI assigned

Dec 16, 2016

Organization subpart

No

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

Authorized official

Name

Sarbjit Mann

Title

Administrator

Phone

(909) 815-7412

Specialties & licenses 1

Addresses

Other names 1

• Carissa House Doing business as

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1427592963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 STOWELL RANCH CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814739",
            "telephone_number": "909-815-7412",
            "fax_number": "951-278-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 STOWELL RANCH CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814739",
            "telephone_number": "909-815-7412",
            "fax_number": "951-278-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARISSA GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "SARBJIT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-815-7412"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carissa House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Corona, CA
• Providers in Corona, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.