Active NPI
Casitas Desert Paradise, Inc.
- Mental Illness Community Based Residential Treatment Facility
- Apple Valley, CA
National Provider Identifier
1689839847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 366413189
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.