Integrated Elder Care Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

INTEGRATED ELDER CARE INC.

Practice address

217 N Grove St
Redlands, CA 92374-6000

Phone

(909) 801-1911

Fax

(909) 557-8717

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Ramon Acereto

Title

Ceo

Phone

(909) 809-8570

Specialties & licenses 10

Addresses

Other identifiers 1

Other names 1

• Pacific Pines Doing business as

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1730627050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N GROVE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923746000",
            "telephone_number": "909-809-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N GROVE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923746000",
            "telephone_number": "909-801-1911",
            "fax_number": "909-557-8717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 Manzanita Ave.",
            "address_purpose": "LOCATION",
            "city": "Angelus Oaks",
            "state": "CA",
            "postal_code": "923051190",
            "country_code": "US",
            "telephone_number": "909-801-1911",
            "fax_number": "909-557-8717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1438 Pacific St",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923736936",
            "country_code": "US",
            "telephone_number": "909-801-1911",
            "fax_number": "909-557-8717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED ELDER CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "ACERETO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-809-8570",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "366426701",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1730627050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pines",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inner Growth Lab
• Institute for Behavior Health (Ibh)
• Institute for Behavioral Health
• Institute for Behavioral Health, Inc.
• Institutue for Behavioral Health
• Into the Light LLC
• Into the Light LLC
• Asim Parvez Iqbal, D.O.
• Iris Acupuncture and Herbal Clinic
• Susan Irish-Zelener, MFT

• Skilled Nursing Facility in Redlands, CA
• Providers in Redlands, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.