NPIMap

Organization Active NPI

Orchid Court, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • San Bernardino, CA
National Provider Identifier
1730783598
Registry record updated Nov 23, 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
2020 West Mesa Street
San Bernardino, CA 92407-6538
Phone
(909) 887-6287
Fax
(909) 887-6287
NPI assigned
Nov 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 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

2020 West Mesa Street
San Bernardino, CA 92407-6538

Mailing address

2020 West Mesa Street
San Bernardino, CA 92407-6538
Phone (909) 887-6287

Other names 1

  • Vanda Royale Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orchid Court Inc3 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.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1730783598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WEST MESA STREET",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076538",
            "telephone_number": "909-887-6287",
            "fax_number": "909-887-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WEST MESA STREET",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076538",
            "telephone_number": "909-887-6287",
            "fax_number": "909-887-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID COURT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "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": "Vanda Royale",
            "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 23, 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.