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ETTIE LEE YOUTH AND FAMILY SERVICES
NPI 1356975148
Residential Treatment Facility, Emotionally Disturbed Children in Bloomington, CA

Active since March 02, 2020
11282 SPRUCE AVE, BLOOMINGTON, CA 92316(909) 877-3330(909) 355-6678 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2020, Mar 2, 2020 (2 updates tracked since 2020).

About Ettie Lee Youth And Family Services NPPES

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

ETTIE LEE YOUTH AND FAMILY SERVICES (NPI 1356975148) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Bloomington, California and active in the NPI registry since March 2020. The organization lists Windy Luna Perez, Qa Manager, as its authorized official.

NPPES Registry Identity

NPI1356975148
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameETTIE LEE HOMES, INC
Location Address11282 SPRUCE AVEBloomington, CA 92316-3228
Mailing Address160 E Holt Ave Ste BPomona, CA 91767-5407 · (909) 620-2521 · Fax (909) 620-9793
Phone(909) 877-3330
Fax(909) 355-6678
Organization SubpartNo
Authorized OfficialWindy Luna PerezQa Manager · (909) 620-2521
Enumeration DateMarch 2, 2020
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1356975148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

11282 SPRUCE AVE, Bloomington, CA 92316
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Other Names 1

Doing Business AsEttie Lee Youth And Family Services

Other Providers at the Same Location NPPES

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

KIMBERLY ROCHELLE HILL
Marriage & Family Therapist
11282 SPRUCE AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 877-3330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ettie Lee Homes, Inc's NPI number?

The NPI number for Ettie Lee Homes, Inc is 1356975148. It was assigned to this organization in the NPPES registry on March 2, 2020. The provider is doing business as Ettie Lee Youth And Family Services.

Where is Ettie Lee Homes, Inc located?

Ettie Lee Homes, Inc is located at 11282 Spruce Ave, Bloomington, CA 92316. The listed phone number is (909) 877-3330.

What is Ettie Lee Homes, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Ettie Lee Homes, Inc was last updated on October 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.