Organization Active NPI

Casitas Desert Paradise, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Apple Valley, CA
National Provider Identifier
1689839847
Registry record updated Jul 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
366413189 Issued in CA
Legal business name
CASITAS DESERT PARADISE, INC.
Practice address
18890 Mendota Rd
Apple Valley, CA 92307-4910
Phone
(760) 242-8321
NPI assigned
Jul 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2008

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

Authorized official

Name
Mrs. Lisa Moss
Title
Administrator
Phone
(760) 946-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 366413189 CA Primary

Addresses

Primary practice location

18890 Mendota Rd
Apple Valley, CA 92307-4910

Mailing address

18890 Mendota Rd
Apple Valley, CA 92307-4910
Phone (760) 242-8321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217030400000",
    "number": "1689839847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18890 MENDOTA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923074910",
            "telephone_number": "760-242-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18890 MENDOTA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923074910",
            "telephone_number": "760-242-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASITAS DESERT PARADISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-26",
        "last_updated": "2008-07-26",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-946-2481",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "366413189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2008; 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.