NPIMap

Organization Active NPI

Angel View Cripppled Childrens Foundation Inc

Doing business as Jack Surnow House

  • Adult Care Home Facility
  • Desert Hot Springs, CA
National Provider Identifier
1609913409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ANGEL VIEW CRIPPPLED CHILDRENS FOUNDATION INC
Doing business as
Jack Surnow House
Practice address
13785 Via Real
Desert Hot Springs, CA 92240
Phone
(760) 329-6471
NPI assigned
Jan 31, 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
Mr. David C Thornton
Title
Executive Director
Phone
(760) 329-6471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X CA Primary

Addresses

Primary practice location

13785 Via Real
Desert Hot Springs, CA 92240

Mailing address

12379 Miracle Hill Road
Desert Hot Springs, CA 92240-4010
Phone (760) 329-6471

Other names 1

  • Jack Surnow House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Angel View Crippled Childrens Foundation Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609913409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12379 MIRACLE HILL ROAD",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922404010",
            "telephone_number": "760-329-6471",
            "fax_number": "760-329-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13785 VIA REAL",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "92240",
            "telephone_number": "760-329-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL VIEW CRIPPPLED CHILDRENS FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-329-6471",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jack Surnow House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desert Hot Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.