Organization Active NPI

Archibald Group Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Ontario, CA
National Provider Identifier
1639412166
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ARCHIBALD GROUP INC.
Practice address
2731 E Arabian PL
Ontario, CA 91761-5096
Phone
(909) 815-7412
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

2731 E Arabian PL
Ontario, CA 91761-5096

Mailing address

1048 Stowell Ranch Cir
Corona, CA 92881-4739

Other names 1

  • ARCHIBALD HOUSE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G718

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ARCHIBALD HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 15, 2015
Last certification
May 29, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
2731 E Arabian PL
Ontario, CA 91761

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1639412166",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 E ARABIAN PL",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917615096",
            "telephone_number": "909-815-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHIBALD GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "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": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCHIBALD HOUSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.