Organization Active NPI

Acts for Children

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bloomington, CA
National Provider Identifier
1780888685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ACTS FOR CHILDREN
Practice address
18136 Jurupa Ave
Bloomington, CA 92316-3009
Phone
(909) 877-5499
Fax
(909) 877-1343
NPI assigned
Jun 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ike Kerhulas, PH.D.
Title
Campus Director
Phone
(909) 877-5499

Specialties & licenses 1

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

Addresses

Primary practice location

18136 Jurupa Ave
Bloomington, CA 92316-3009

Mailing address

18136 Jurupa Ave
Bloomington, CA 92316-3009
Phone (909) 877-5499

National Provider Directory

National Provider Directory

Locations

18136 Jurupa Ave
Bloomington, CA 92316
Phone (909) 877-5499

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780888685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18136 JURUPA AVE",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923163009",
            "telephone_number": "909-877-5499",
            "fax_number": "909-877-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18136 JURUPA AVE",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923163009",
            "telephone_number": "909-877-5499",
            "fax_number": "909-877-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERHULAS",
        "authorized_official_first_name": "IKE",
        "authorized_official_title_or_position": "CAMPUS DIRECTOR",
        "authorized_official_telephone_number": "909-877-5499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, CA

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.

Verify at the official NPI Registry.