NPIMap

Organization Active NPI

Orchid Court, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • San Bernardino, CA
National Provider Identifier
1730780313
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ORCHID COURT, INC.
Practice address
307 S Arrowhead Avenue
San Bernardino, CA 92408-1325
Phone
(909) 884-3044
Fax
(909) 884-3044
NPI assigned
Nov 2, 2020
Organization subpart
Yes
Parent organization
ORCHID COURT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Mr. Clodoveo R. Gosuico III
Title
Administrator
Phone
(909) 884-3044

Specialties & licenses 1

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

Addresses

Primary practice location

307 S Arrowhead Avenue
San Bernardino, CA 92408-1325

Mailing address

307 S Arrowhead Avenue
San Bernardino, CA 92408-1325
Phone (909) 884-3044

Other names 1

  • Orchid Court, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orchid Court Inc3 organizations share this tax ID, including this one
Part of
Orchid Court Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

307 S Arrowhead Ave
San Bernardino, CA 92408
Phone (909) 884-3044

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1730780313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S ARROWHEAD AVENUE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081325",
            "telephone_number": "909-884-3044",
            "fax_number": "909-884-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S ARROWHEAD AVENUE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081325",
            "telephone_number": "909-884-3044",
            "fax_number": "909-884-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID COURT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORCHID COURT, INC.",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "GOSUICO III",
        "authorized_official_first_name": "CLODOVEO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-884-3044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchid Court, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.