NPIMap

Organization Active NPI

Careprovider Org Foundation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Covina, CA
National Provider Identifier
1740747096
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CAREPROVIDER ORG FOUNDATION
Practice address
281 E Workman St Ste 203
Covina, CA 91723-3566
Phone
(626) 967-1105
Fax
(626) 967-1107
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Chika Dillibe
Title
Executive Director
Phone
(626) 967-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

281 E Workman St Ste 203
Covina, CA 91723-3566

Mailing address

281 E Workman St Ste 203
Covina, CA 91723-3566
Phone (626) 967-1105

Other practice location 1

858 Kidder Ave
Covina, CA 91724-2615
Phone (626) 967-1105

Other practice location 2

517 N Chalburn Ave
West Covina, CA 91790-1446
Phone (606) 967-1105

Other practice location 3

1593 Densmore St
Pomona, CA 91767-4333
Phone (626) 967-1105

Other identifiers 3

IdentifierTypeStateIssuer
1568913580OtherCANPPES
1568913887OtherCANPPES
1942751268OtherCANPPES

National Provider Directory

National Provider Directory
Tax ID family
Careprovider Org Foundation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

281 E Workman St
Ste 203
Covina, CA 91723
Phone (626) 967-1105

Ownership & related parties

Subparts reporting this organization as parent 3

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": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1740747096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 E WORKMAN ST STE 203",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233566",
            "telephone_number": "626-967-1105",
            "fax_number": "626-967-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 E WORKMAN ST STE 203",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233566",
            "telephone_number": "626-967-1105",
            "fax_number": "626-967-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "858 Kidder Ave",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917242615",
            "country_code": "US",
            "telephone_number": "626-967-1105",
            "fax_number": "626-967-1107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 N Chalburn Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917901446",
            "country_code": "US",
            "telephone_number": "606-967-1105",
            "fax_number": "626-967-1107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1593 Densmore St",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917674333",
            "country_code": "US",
            "telephone_number": "626-967-1105",
            "fax_number": "626-967-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREPROVIDER ORG FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "DILLIBE",
        "authorized_official_first_name": "CHIKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-967-1105"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1568913580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1568913887",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1942751268",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.