Organization Active NPI

D&D Kerr Inc

Doing business as California Villa Annex

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Upland, CA
National Provider Identifier
1750510038
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
360904823 Issued in CA
Legal business name
D&D KERR INC
Doing business as
California Villa Annex
Practice address
867 E 11TH St
Upland, CA 91786-4867
Phone
(909) 946-6831
NPI assigned
Jul 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Mr. Donald William Kerr
Title
Owner/Administrator
Phone
(909) 946-6831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 360904823 CA Primary

Addresses

Primary practice location

867 E 11TH St
Upland, CA 91786-4867

Mailing address

PO Box 1418
Upland, CA 91785-1418
Phone (909) 946-6831

Other names 1

  • California Villa Annex Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1750510038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1418",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851418",
            "telephone_number": "909-946-6831",
            "fax_number": "909-946-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 E 11TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864867",
            "telephone_number": "909-946-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&D KERR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "909-946-6831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "360904823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Villa Annex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.