Active NPI
RSCR Inland, Inc.
- Intellectual Disabilities Intermediate Care Facility
- Riverside, CA
National Provider Identifier
1760519128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- RSCR INLAND, INC.
- Practice address
- 5475 College Ave
Riverside, CA 92505-3124 - Phone
- (714) 537-3252
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Patricia Rodenberg-Roberts
- Title
- Chief Regulatory Officer Sr Asst GC
- Phone
- (952) 836-2234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
5475 College Ave
Riverside, CA 92505-3124
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Phone (800) 388-5150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC60120G | Medicaid | CA |
Other names 1
- COLLEGE HOUSE - BUMPERSHOOT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G158
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- COLLEGE HOUSE
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Sep 18, 1985
- Last certification
- Apr 8, 2025
- Beds
- 6
- Ownership / control type
- Private (non-profit)
- Facility address
- 5475 College Avenue
Riverside, CA 92505
National Provider Directory
National Provider Directory- Tax ID family
- RSCR Inland Inc
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Riverside, CA
- NPI 1255468641
-
- Intellectual Disabilities Intermediate Care Facility
- Riverside, CA
- NPI 1336276013
-
- Mental Illness Intermediate Care Facility
- Riverside, CA
- NPI 1346376886
-
- Intellectual Disabilities Intermediate Care Facility
- Riverside, CA
- NPI 1396872792
-
- Intellectual Disabilities Intermediate Care Facility
- Riverside, CA
- NPI 1427185883
-
- Intellectual Disabilities Intermediate Care Facility
- Riverside, CA
- NPI 1679600043
-
- Intellectual Disabilities Intermediate Care Facility
- Riverside, CA
- NPI 1851428247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1760519128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S STE 350",
"city": "EDINA",
"state": "MN",
"postal_code": "554351810",
"telephone_number": "800-388-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 COLLEGE AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053124",
"telephone_number": "714-537-3252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RSCR INLAND, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "RODENBERG-ROBERTS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "CHIEF REGULATORY OFFICER SR ASST GC",
"authorized_official_telephone_number": "952-836-2234"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC60120G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COLLEGE HOUSE - BUMPERSHOOT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.