PEPPERMINT RIDGE
NPI 1285847301
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Corona, CA

Active since May 07, 2007
825 MAGNOLIA AVE, CORONA, CA 92879(951) 273-7320(951) 737-0726 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peppermint Ridge NPPES

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

PEPPERMINT RIDGE (NPI 1285847301) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Corona, California and active in the NPI registry since May 2007. The organization lists John A. Garrett, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1285847301
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePEPPERMINT RIDGE
Location Address825 MAGNOLIA AVECorona, CA 92879-3129
Mailing Address825 Magnolia AveCorona, CA 92879-3129 · (951) 273-7320 · Fax (951) 737-0726
Fax(951) 737-0726
Organization SubpartNo
Authorized OfficialJohn A. GarrettExecutive Director · 95127327320
Enumeration DateMay 7, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1285847301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

825 MAGNOLIA AVE, Corona, CA 92879

Other Identifiers 1

OtherLTC60027FCA · Evergreen Estates

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.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
825 MAGNOLIA AVE
CORONA, CA 92879
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
825 MAGNOLIA AVE
CORONA, CA 92879

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285847301, enumerated as an "organization" on May 07, 2007.

The provider is located at 825 MAGNOLIA AVE CORONA, CA 92879 and the phone number is (951) 273-7320.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

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