NPIMap

Organization Active NPI

Developmental Client Care

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Moreno Valley, CA
National Provider Identifier
1467501304
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
250000293 Issued in CA
Legal business name
DEVELOPMENTAL CLIENT CARE
Practice address
12867 Foxdale Dr
Moreno Valley, CA 92553-5674
Phone
(951) 243-5129
Fax
(951) 485-2642
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Carl E Rowe, PHARM MD
Title
President
Phone
(951) 243-5129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 250000293 CA Primary

Addresses

Primary practice location

12867 Foxdale Dr
Moreno Valley, CA 92553-5674

Mailing address

11751 Davis St
Moreno Valley, CA 92557-6316

Other identifiers 1

IdentifierTypeStateIssuer
LTC60343GOtherCALTC PROVIDER NO.

National Provider Directory

National Provider Directory
Tax ID family
Developmental Client Care10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

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": "1213660800000",
    "number": "1467501304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 DAVIS ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12867 FOXDALE DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535674",
            "telephone_number": "951-243-5129",
            "fax_number": "951-485-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL CLIENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-243-5129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM MD"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "250000293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LTC PROVIDER NO.",
            "identifier": "LTC60343G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.