Active NPI
Tender Loving Care Home for Boys, Inc
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Rancho Cucamonga, CA
National Provider Identifier
1720514896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 366405647
- Legal business name
- TENDER LOVING CARE HOME FOR BOYS, INC
- Practice address
- 11519 Carlisle PL
Rancho Cucamonga, CA 91730-7233 - Phone
- (909) 484-7259
- NPI assigned
- May 10, 2017
- 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
- Mr. Reginald Brown Sr.
- Title
- Executive Director
- Phone
- (909) 243-2307
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 366405647 | CA | Primary |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 366407775 | CA |
Addresses
Primary practice location
11519 Carlisle PL
Rancho Cucamonga, CA 91730-7233
Mailing address
11519 Carlisle Place
Rancho Cucamonga, CA 91730
Phone (909) 484-7259
Other names 1
- Corinthians Helping Hand Group Homes
National Provider Directory
National Provider Directory- Tax ID family
- Corinthians Helping Hand Group Homes
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Rancho Cucamonga, CA
- NPI 1356972772
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Upland, CA
- NPI 1366814816
-
- Professional Counselor
- Beaumont, CA
- NPI 1336549401
-
- Social Worker
- Upland, CA
- NPI 1154849602
-
- Counselor
- Rancho Cucamonga, CA
- NPI 1659009389
-
- Rehabilitation Practitioner
- Rancho Cucamonga, CA
- NPI 1073269098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494374400000",
"number": "1720514896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11519 CARLISLE PLACE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-484-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11519 CARLISLE PL",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307233",
"telephone_number": "909-484-7259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER LOVING CARE HOME FOR BOYS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-10",
"last_updated": "2017-05-10",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "REGINALD",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "909-243-2307",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "CA",
"license": "366405647",
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "CA",
"license": "366407775",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Corinthians Helping Hand Group Homes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.