1184134033 NPI number — GARCES RESIDENTIAL CARE SERVICES

Table of Contents

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)





Copyright © 2007-2024 www.npivalidator.com