Cimmeron Trail Rcfe LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CIMMERON TRAIL RCFE LLC

Practice address

10415 Cimmeron Trail Dr
Adelanto, CA 92301-2214

Phone

(213) 210-5773

NPI assigned

Mar 26, 2025

Last updated

Mar 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eugene Carson III

Title

Licensee

Phone

(213) 210-5773

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1891597043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18857 RAVENHURST WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925049413",
            "telephone_number": "213-210-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 CIMMERON TRAIL DR",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923012214",
            "telephone_number": "213-210-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIMMERON TRAIL RCFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "213-210-5773",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Cabreddy
• Sarahi Cancino
• Erin Carsey, ASW
• Taylor Cartwright
• Eu Ro Choo, PSY.D.
• April Garnetta Clay, PA-C
• Cleveland&Co.
• Natalie Contreras-Bermudez
• County of San Bernardino
• Thomas Augustus Cox II, LMFT

• Assisted Living Facility in Adelanto, CA
• Providers in Adelanto, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.