PEPPERMINT RIDGE
NPI 1063634541
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Corona, CA

Active since May 03, 2007
825 MAGNOLIA AVE, CORONA, CA 92879(951) 273-7320(951) 737-0726 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peppermint Ridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEPPERMINT RIDGE (NPI 1063634541) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Corona, California and active in the NPI registry since May 2007. The organization lists John A. Garrett, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063634541
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePEPPERMINT RIDGE
Location Address825 MAGNOLIA AVECorona, CA 92879-3129
Mailing Address825 Magnolia AveCorona, CA 92879-3129 · (951) 273-7320 · Fax (951) 737-0726
Fax(951) 737-0726
Organization SubpartNo
Authorized OfficialJohn A. GarrettExecutive Director · (951) 273-7320
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1063634541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

825 MAGNOLIA AVE, Corona, CA 92879

Other Identifiers 1

OtherLTC80322FCA · Roger Residence

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
825 MAGNOLIA AVE
CORONA, CA 92879
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
825 MAGNOLIA AVE
CORONA, CA 92879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peppermint Ridge's NPI number?

The NPI number for Peppermint Ridge is 1063634541. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Peppermint Ridge located?

Peppermint Ridge is located at 825 Magnolia Ave, Corona, CA 92879. The listed phone number is (951) 273-7320.

What is Peppermint Ridge's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Peppermint Ridge was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.