Active NPI
United Care Providers-St Francis
- Intellectual Disabilities Intermediate Care Facility
- Moreno Valley, CA
National Provider Identifier
1780655720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- UNITED CARE PROVIDERS-ST FRANCIS
- Practice address
- 12842 Glenmere Dr
Moreno Valley, CA 92553-5985 - Phone
- (951) 242-8106
- Fax
- (951) 601-2216
- NPI assigned
- Jan 28, 2006
- 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
- Adolfo J Festejo
- Title
- VP/Cfo
- Phone
- (818) 802-6303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | CA | Primary |
Addresses
Primary practice location
12842 Glenmere Dr
Moreno Valley, CA 92553-5985
Mailing address
18409 Dancy St
Rowland Heights, CA 91748-4755
Phone (818) 802-6303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC80045F | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- United Care Providers-Holy Infant
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Baldwin Park, CA
- NPI 1417928458
-
- Intellectual Disabilities Intermediate Care Facility
- Baldwin Park, CA
- NPI 1497726434
-
- Intellectual Disabilities Intermediate Care Facility
- Valinda, CA
- NPI 1952372997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780655720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18409 DANCY ST",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917484755",
"telephone_number": "818-802-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12842 GLENMERE DR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925535985",
"telephone_number": "951-242-8106",
"fax_number": "951-601-2216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED CARE PROVIDERS-ST FRANCIS",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FESTEJO",
"authorized_official_first_name": "ADOLFO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VP/CFO",
"authorized_official_telephone_number": "818-802-6303"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC80045F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
- Matthew B Underwood, M.D.
- Unforgettable Residential Care Facility
- Unicare Community Health Center Inc
- Unified Care Congregate Living, LLC
- Union Care Services LLC
- United in Change Assisted Living and Memory Care LLC
- Unlimited Care Registry, LLC
- Christopher Robert Urell, DO
- Maria Urena, FNP
- Laura Sylvana Uzarski, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.