Rimrock Residential Care Home Inc.

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

366407908 Issued in CA

Legal business name

RIMROCK RESIDENTIAL CARE HOME INC.

Practice address

20115 Rimrock Road East
Apple Valley, CA 92307

Phone

(760) 242-7340

Fax

(760) 242-7340

NPI assigned

Jun 3, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Arnold P. Mansat

Title

President

Phone

(909) 331-8039

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Rimrock Residential Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Rimrock Residential Care Home, Inc.

  • Assisted Living Facility
  • Apple Valley, CA
  • NPI 1366795577
  NPD tax ID

Locations

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1740500537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20115 RIMROCK ROAD EAST",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-242-7340",
            "fax_number": "760-242-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20115 RIMROCK ROAD EAST",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-242-7340",
            "fax_number": "760-242-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIMROCK RESIDENTIAL CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "MANSAT",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-331-8039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "366407908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "ABRIMAN1212",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myra Rickman
• Angelina Lily Rico, BS, COTA/L
• Ferdinand Reyes Rico, MD
• Erika A Riley
• Sarah Darlene Riley
• Rimrock Residential Care Home, Inc.
• Angela Marie Rincon
• Rite Aid
• Crystal D Rivas, COTA/L
• Kelley Rivas

• Physical Disabilities Residential Treatment Facility in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Physical Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.