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BOYS REPUBLIC - ILP STRTP
NPI 1083305411
Community Based Residential Treatment Facility, Mental Illness in Chino Hills, CA

Active since May 17, 2023
3624 MARGARET FOWLER CT, CHINO HILLS, CA 91709(909) 740-3133(909) 306-5427 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Boys Republic - Ilp Strtp NPPES

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

BOYS REPUBLIC - ILP STRTP (NPI 1083305411) is a healthcare organization registered as a community based residential treatment facility, mental illness in Chino Hills, California and active in the NPI registry since May 2023. The organization lists Judith Edmundson, Clinical Supervisor/head Of Service, as its authorized official.

NPPES Registry Identity

NPI1083305411
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameBOYS REPUBLIC
Location Address3624 MARGARET FOWLER CTChino Hills, CA 91709-5456
Mailing Address1907 Boys Republic DrChino Hills, CA 91709-5447 · (909) 628-1217 · Fax (909) 306-5427
Phone(909) 740-3133
Fax(909) 306-5427
Organization SubpartYes
Authorized OfficialJudith EdmundsonClinical Supervisor/head Of Service · (909) 925-7693
Enumeration DateMay 17, 2023
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1083305411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3624 MARGARET FOWLER CT, Chino Hills, CA 91709
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Other Names 1

Other NameBoys Republic - Ilp Strtp

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.

JUDITH EDMUNDSON
Counselor (Professional)
3624 MARGARET FOWLER CT
CHINO HILLS, CA 91709
San Bernardino County (909) 740-3133
MARIAH JOLLENE ROSAUER
Social Worker (Clinical)
3624 MARGARET FOWLER CT
CHINO HILLS, CA 91709
San Bernardino County (909) 740-3133

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 Boys Republic's NPI number?

The NPI number for Boys Republic is 1083305411. It was assigned to this organization in the NPPES registry on May 17, 2023. The provider is also known as Boys Republic - Ilp Strtp.

Where is Boys Republic located?

Boys Republic is located at 3624 Margaret Fowler Ct, Chino Hills, CA 91709. The listed phone number is (909) 740-3133.

What is Boys Republic's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Boys Republic was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.