NPIMap

Organization Active NPI

Future Stars Youth Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Calimesa, CA
National Provider Identifier
1689352809
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
FUTURE STARS YOUTH SERVICES
Practice address
406 Myrtlewood Dr
Calimesa, CA 92320-1503
Phone
(909) 810-1481
NPI assigned
Jul 7, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Ms. Danette Seay
Title
Program Direct
Phone
(951) 453-6979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

406 Myrtlewood Dr
Calimesa, CA 92320-1503

Mailing address

PO Box 981
Calimesa, CA 92320-0981

National Provider Directory

National Provider Directory
Tax ID family
Future Stars Youth Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1689352809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 981",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923200981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MYRTLEWOOD DR",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201503",
            "telephone_number": "909-810-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE STARS YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_title_or_position": "PROGRAM DIRECT",
        "authorized_official_telephone_number": "951-453-6979",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calimesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.