Active NPI
Developmental Client Care
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Moreno Valley, CA
National Provider Identifier
1649343385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 1488647
- Legal business name
- DEVELOPMENTAL CLIENT CARE
- Practice address
- 11751 Davis St
Moreno Valley, CA 92557 - Phone
- (951) 243-5129
- Fax
- (951) 485-2642
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
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
- Owner
- Phone
- (951) 243-5129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 1488647 | CA | Primary |
Addresses
Primary practice location
11751 Davis St
Moreno Valley, CA 92557
Mailing address
11751 Davis St
Moreno Valley, CA 92557
Phone (951) 243-5129
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649343385",
"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": "92557",
"telephone_number": "951-243-5129",
"fax_number": "951-485-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11751 DAVIS ST",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "92557",
"telephone_number": "951-243-5129",
"fax_number": "951-485-2642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOPMENTAL CLIENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROWE",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"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": "1488647",
"primary": true
}
],
"identifiers": [],
"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 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.