NPIMap

Organization Active NPI

Developmental Client Care

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Moreno Valley, CA
National Provider Identifier
1497804041
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
250000279 Issued in CA
Legal business name
DEVELOPMENTAL CLIENT CARE
Practice address
12581 Shady Bend Dr
Moreno Valley, CA 92553
Phone
(951) 243-5129
NPI assigned
Jan 10, 2007
Last updated
Jun 17, 2008By the provider in NPPES
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 250000279 CA Primary

Addresses

Primary practice location

12581 Shady Bend Dr
Moreno Valley, CA 92553

Mailing address

11751 Davis St
Moreno Valley, CA 92557-6316

Other identifiers 1

IdentifierTypeStateIssuer
LTC60349GOtherCALTC 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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1497804041",
    "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",
            "fax_number": "951-485-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12581 SHADY BEND DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92553",
            "telephone_number": "951-243-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL CLIENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "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": "250000279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LTC PROVIDER NO.",
            "identifier": "LTC60349G",
            "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.