BOYS REPUBLIC
NPI 1124585781
Community Based Residential Treatment Facility, Mental Illness in Chino Hills, CA

Q: What is Boys Republic's NPI number?

The NPI number for Boys Republic is 1124585781. It was assigned to this organization in the NPPES registry on March 1, 2019.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Boys Republic was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 01, 2019

1907 BOYS REPUBLIC DR, CHINO HILLS, CA 91709(909) 628-1217(909) 306-5427 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2022, May 7, 2019, Mar 1, 2019 (3 updates tracked since 2019).

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About Boys Republic NPPES

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

BOYS REPUBLIC (NPI 1124585781) 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 March 2019. The organization lists Federico Escobedo Jarque, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1124585781

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameBOYS REPUBLIC

Location Address1907 BOYS REPUBLIC DRChino Hills, CA 91709-5447

Mailing Address1907 Boys Republic DrChino Hills, CA 91709-5447

Phone(909) 628-1217

Fax(909) 306-5427

Organization SubpartNo

Authorized OfficialFederico Escobedo JarqueClinical Director · (909) 628-1217

Enumeration DateMarch 1, 2019

Last NPPES UpdateNovember 30, 20223 updates tracked since enumeration

NPPES CertifiedNovember 30, 2022

✔ NPI 1124585781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

1907 BOYS REPUBLIC DR, Chino Hills, CA 91709

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Other Providers at the Same Location NPPES 20

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

BREANNA MARIE LANE

Case Manager/Care Coordinator