OLIVE CREST
NPI 1144865379
Community Based Residential Treatment Facility, Mental Illness in Perris, CA

Active since November 12, 2019
20025 VISTA DEL LAGO STE A, PERRIS, CA 92570(951) 238-1093 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2023, Nov 12, 2019 (2 updates tracked since 2019).

About Olive Crest NPPES

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

OLIVE CREST (NPI 1144865379) is a healthcare organization registered as a community based residential treatment facility, mental illness in Perris, California and active in the NPI registry since November 2019. The organization lists Donald Verleur, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1144865379
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameOLIVE CREST
Location Address20025 VISTA DEL LAGO STE APerris, CA 92570-7170
Mailing Address2130 E 4th St Ste 200Santa Ana, CA 92705-3818 · (714) 543-5437 · Fax (714) 543-5463
Organization SubpartNo
Authorized OfficialDonald VerleurChief Executive Officer · (714) 543-5437
Enumeration DateNovember 12, 2019
Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
NPI 1144865379 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.

20025 VISTA DEL LAGO STE A, Perris, CA 92570

Other Identifiers 1

Medicaid3325CA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144865379, enumerated as an "organization" on November 12, 2019.

The provider is located at 20025 VISTA DEL LAGO STE A PERRIS, CA 92570 and the phone number is (951) 238-1093.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.