1184134033 NPI number — GARCES RESIDENTIAL CARE SERVICES

Table of content: (NPI 1184134033)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184134033 NPI number — GARCES RESIDENTIAL CARE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GARCES RESIDENTIAL CARE SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BRIGHT HORIZON STRTP
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184134033
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7349 MILLIKEN AVE
Provider Second Line Business Mailing Address:
SUITE 140-223
Provider Business Mailing Address City Name:
RANCHO CUCAMONGA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91730-7435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-646-9509
Provider Business Mailing Address Fax Number:
909-646-9508

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2243 N MOUNTAIN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLAREMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91711-1586
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-447-5346
Provider Business Practice Location Address Fax Number:
909-624-3810
Provider Enumeration Date:
10/05/2017

Additional Information

Authorized Official

Authorized Official Last Name:
GARCES
Authorized Official First Name:
CARLOS
Authorized Official Middle Name:
ALBERTO
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
909-376-6619

Provider Taxonomy Codes

  • Taxonomy code: 253J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0855X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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