Cortes Small Family Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

336407999 Issued in CA

Legal business name

CORTES SMALL FAMILY HOME

Practice address

5251 Almar St
Riverside, CA 92505-2530

Phone

(951) 343-7242

Fax

(951) 343-1140

NPI assigned

Sep 15, 2009

Last updated

Sep 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Blanca Estela Cortes

Title

Owner/Administrator

Phone

(951) 343-7242

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1447583927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 ALMAR ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052530",
            "telephone_number": "951-343-7242",
            "fax_number": "951-343-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 ALMAR ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052530",
            "telephone_number": "951-343-7242",
            "fax_number": "951-343-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTES SMALL FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "ESTELA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "951-343-7242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "336407999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Correa
• Jennifer Correia
• Corryson Corros
• Nathan Cort
• Maritza Cortes Perez
• Aurora Cortes
• Brittany Cortes
• Helson Cortes
• Nancy Alejandra Cortes
• Sherry Cortez-Farris

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.