Marcee Lynn Hirst

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

250000758 Issued in CA

Legal business name

MARCEE LYNN HIRST

Practice address

11966 Tilden PL
Riverside, CA 92505-3143

Phone

(951) 789-9698

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Greg Hirst

Title

Owner

Phone

(951) 789-9698

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tilden House Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G358

Legal name

Tilden House

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 19, 2000

Last certification

Apr 8, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

11966 Tilden Place
Riverside, CA 92505

Tax ID family

Bentley House3 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.

• Marcee Lynn Hirst

  • Intellectual Disabilities Intermediate Care Facility
  • Riverside, CA
  • NPI 1033259767
  NPD tax ID
• Marcee Lynn Hirst

  • Intellectual Disabilities Intermediate Care Facility
  • Norco, CA
  • NPI 1053452789
  NPD tax ID

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1700927373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8175",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925158175",
            "telephone_number": "951-789-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11966 TILDEN PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053143",
            "telephone_number": "951-789-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCEE LYNN HIRST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HIRST",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-789-9698"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "250000758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80294F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tilden House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexis A Marantos, LVN
• Ashley Maranville, BA
• Nelson Javier Maravilla, CRNA
• Marc R Larson DDS Ms a Dental Corporation
• Marcee Lynn Hirst
• Craig Alexander March, LPT38185
• Chelsie Marchesano
• Andrea Francesca Marcial, MS, ATC, NREMT
• Kennyth Charles Olley Marcial, BA; PC832
• Mary M. Marcinko, MD

• Intellectual Disabilities Intermediate Care Facility in Riverside, CA
• Providers in Riverside, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.