Peppermint Ridge

LBN: Peppermint Ridge
Peppermint Ridge is an health care organization with primary practice located at 825 Magnolia Ave , Corona CA 92879-3129. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Peppermint Ridge can be contacted via phone (951) 273-7320, or through Garrett, John A. via phone (951) 273-7320.

Contact Information

Primary practice address
825 Magnolia Ave Corona CA 92879-3129
Phone: (951) 273-7320
Fax: (951) 737-0726
Website:
Map and Directions
Authorized official contact:
Name: Garrett, John A. M.S.W.
Phone: (951) 273-7320

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X California

Profile Details

NPI number 1063634541
LBN Legal business name Peppermint Ridge
DBA Doing business as
Authorized official Garrett, John A. M.S.W.
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063634541 NPPES
California Other LTC80322F ROGER RESIDENCE

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