NPIMap

Organization Active NPI

Purposely Chosen, Inc.

Doing business as Born for Nia Maternity Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Riverside, CA
National Provider Identifier
1689117327
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
PURPOSELY CHOSEN, INC.
Doing business as
Born for Nia Maternity Home
Practice address
1410 3Rd St
Suite 2
Riverside, CA 92507-3482
Phone
(909) 471-0697
Fax
(760) 302-7607
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Mrs. Dretona Tenese Maddox, RNNPI 1417083643
Title
Executive Director
Phone
(909) 471-0697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Nursing Care Agency 251J00000X
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1410 3Rd St
Suite 2
Riverside, CA 92507-3482

Mailing address

1410 3Rd St
Suite 2
Riverside, CA 92507-3482
Phone (909) 471-0697

Other names 1

  • Born for Nia Maternity Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Purposely Chosen Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

  • Purposely Chosen, Inc.

    dba Born for Nia Maternity Home - Moreno Valley

    • Emotionally Disturbed Childrens' Residential Treatment Facility
    • Moreno Valley, CA
    • NPI 1679178396
    NPD tax ID
  • Purposely Chosen, Inc.

    dba Born for Nia Maternity Home - San Bernardino

    • Emotionally Disturbed Childrens' Residential Treatment Facility
    • San Bernardino, CA
    • NPI 1902401623
    NPD tax ID

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1689117327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 3RD ST",
            "address_2": "SUITE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073482",
            "telephone_number": "909-471-0697",
            "fax_number": "760-302-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 3RD ST",
            "address_2": "SUITE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073482",
            "telephone_number": "909-471-0697",
            "fax_number": "760-302-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSELY CHOSEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "DRETONA",
        "authorized_official_middle_name": "TENESE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-471-0697",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Born for Nia Maternity Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Born for Nia Maternity Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.