OLIVE CREST
NPI 1235774464
Community Based Residential Treatment Facility, Mental Illness in Perris, CA

Active since November 12, 2019
20025 VISTA DEL LAGO STE B, PERRIS, CA 92570(951) 238-2157 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).

  • Organization
  • Community Based Residential Treatment Fa...

About OLIVE CREST

This page provides the complete NPI Profile along with additional information for Olive Crest, a provider established in Perris, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1235774464 assigned on November 2019. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Donald Verleur Mba (Chief Executive Officer)

NPI
1235774464 Verify this NPI
Provider Name
OLIVE CREST
Entity Type
Organization
Location Address
20025 VISTA DEL LAGO STE B PERRIS, CA 92570
Location Phone
(951) 238-2157
Mailing Address
2130 E 4TH ST STE 200 SANTA ANA, CA 92705
Mailing Phone
(714) 543-5437
Mailing Fax
(714) 543-5463
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2019
Last Update Date
12-15-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD VERLEUR MBA

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(714) 543-5437

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3330MEDICAID (05)CA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235774464, enumerated as an "organization" on November 12, 2019.

The provider is located at 20025 VISTA DEL LAGO STE B PERRIS, CA 92570 and the phone number is (951) 238-2157.

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.