GARCES RESIDENTIAL CARE SERVICES (NPI# 1184134033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184134033 |
| Entity Type | Organization |
| Organization Name | GARCES RESIDENTIAL CARE SERVICES |
| Other Organization Name | BRIGHT HORIZON STRTP |
| Practice Address |
2243 N Mountain Ave Claremont CA 91711-1586 |
| Mailing Address |
7349 Milliken Ave Suite 140-223 Rancho Cucamonga CA 91730-7435 |
| Practice Telephone | 9094475346 |
| Practice Fax Number | 9096243810 |
| Mailing Telephone | 9096469509 |
| Mailing Fax Number | 9096469508 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | MR. CARLOS ALBERTO GARCES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9093766619 |
| Is Organization Subpart | Y |
| Parent Organization Name | GARCES RESIDENTIAL CARE SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253J00000X | Foster Care Agency | Agencies | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BRIGHT HORIZON STRTP | Other Name - Individual/Organization |
| BRIGHTHORIZON STRTP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984264 | Garces Residential Care Services | Foster Care Agency | 7349 Milliken Ave # 140-223, Rancho Cucamonga, CA 91730-7435 | 2019-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GARCES RESIDENTIAL CARE SERVICES | 12437 Goodwood Ave, Rancho Cucamonga, CA 91739-2403 |
| Street Address |
2243 N MOUNTAIN AVE |
| City | CLAREMONT |
| State | CA |
| Zip Code | 91711-1586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740614288 | Heather Ilene Hays | Social Worker | 2243 N Mountain Ave, Claremont, CA 91711-1586 | 2013-08-31 |
| 1104438431 | Michael L Fernandez | Rehabilitation Practitioner | 2243 N Mountain Ave, Claremont, CA 91711-1586 | 2020-08-18 |
| 1154931939 | Julianna Bowers | Case Manager/Care Coordinator | 2243 N Mountain Ave, Claremont, CA 91711-1586 | 2020-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919132 | Suzanne Kathryn Wen | Physical Therapist | 224 North Indian Hill Bvld, Claremont, CA 91711 | 2019-12-16 |
| 1336790690 | Angelita M Sherzada | Social Worker | 250 W. First Street, 242, Claremont, CA 91711 | 2019-09-26 |
| 1629560602 | Patricia L Sellers | Marriage & Family Therapist | 220 S Indian Hill Boulevard, Suite E, Claremont, CA 91711 | 2018-06-05 |
| 1477078418 | Geiselia Thomas | Chore Provider | 519 Martin Way, Claremont, CA 91711 | 2017-08-10 |
| 1750804464 | Vasudavan Govindasamy | Speech-Language Pathologist | 1490 North Claremont Blvd Suite 101, Claremont, CA 91711 | 2017-07-25 |
| 1669850103 | Drpaulolivera | Dentist | 450wsanjose, Claremont, CA 91711 | 2015-05-18 |
| 1003204504 | Alexandra Jordan Bandy | Nurse Practitioner | 530 W. Bonita Ave, Claremont, CA 91711 | 2015-01-06 |
| 1437571379 | Susan Clayton Zylstra | Speech-Language Pathologist | 842 Knox Place, Claremont, CA 91711 | 2014-01-13 |
| 1255671053 | Misty Anne Rogers | Acupuncturist | 689 W. Foothill Blvd., Suite D, Claremont, CA 91711 | 2013-02-15 |
| 1629364161 | Lu Tian | Acupuncturist | 250 W. First Street #112, Claremont, CA 91711 | 2011-06-23 |
| Find all providers in zip 91711 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.