El Serreno Group Homes

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

960001215 Issued in CA

Legal business name

EL SERRENO GROUP HOMES

Practice address

6206 Walnut Ave
Chino, CA 91710-2774

Phone

(909) 627-0422

Fax

(951) 278-2957

NPI assigned

Oct 25, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Sarbjit Mann

Title

Ceo

Phone

(909) 627-0422

Specialties & licenses 1

Addresses

Other names 1

• Walnut House Doing business as

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1811297856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 WALNUT AVENUE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102774",
            "telephone_number": "909-627-0422",
            "fax_number": "951-278-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102774",
            "telephone_number": "909-627-0422",
            "fax_number": "951-278-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SERRENO GROUP HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "SARBJIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-627-0422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "960001215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• H Dale Edelson, O.D.
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• Michelle Elway, D.O.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chino, CA
• Providers in Chino, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.