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

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: July 19, 2026.

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

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.

MIND CARE MEDICAL GROUP, INC.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1907 BOYS REPUBLIC DR
CHINO HILLS, CA 91709
San Bernardino County (909) 628-1217
CHRIS BURNS PH.D
Psychologist
1907 BOYS REPUBLIC DR
CHINO HILLS, CA 91709
San Bernardino County (909) 628-1217
MICHELLE TOTIN
Behavior Technician
1907 BOYS REPUBLIC DR
CHINO HILLS, CA 91709
San Bernardino County (909) 628-1217
MICHELLE LEDONNE
Counselor
1907 BOYS REPUBLIC DR
CHINO HILLS, CA 91709
San Bernardino County (909) 628-1217
LANCE JAY PARKS
Social Worker (Clinical)
1907 BOYS REPUBLIC DR
CHINO HILLS, CA 91709
San Bernardino County (909) 628-1217
ALLYANA ASHLEY ESTRADA LVN
Licensed Vocational Nurse
1907 BOYS REPUBLIC DR
CHINO HILLS, CA 91709
San Bernardino County (909) 628-1217
CYNTHIA VACA MAY
Licensed Vocational Nurse
1907 BOYS REPUBLIC DR
CHINO HILLS, CA 91709
San Bernardino County (909) 628-1217
SUSAN MARGARET KORNBACHER
Marriage & Family Therapist
1907 BOYS REPUBLIC DR
CHINO HILLS, CA 91709
San Bernardino County (909) 628-1217

Frequently Asked Questions

What is BOYS REPUBLIC's NPI number?

The NPI number assigned to this healthcare provider is 1124585781, enumerated as an "organization" on March 01, 2019.

Where is the provider located?

The provider is located at 1907 BOYS REPUBLIC DR CHINO HILLS, CA 91709 and the phone number is (909) 628-1217.

What is the provider's specialty?

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.