PROVIDENT PLACE
NPI 1508208877
Intermediate Care Facility, Intellectual Disabilities in Apple Valley, CA

Q: What is Provident Place's NPI number?

The NPI number for Provident Place is 1508208877. It was assigned to this organization in the NPPES registry on July 26, 2013.

Q: What is Provident Place's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for Provident Place was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2013

15448 MONDAMON RD, APPLE VALLEY, CA 92307(760) 242-4908 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Provident Place NPPES

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

PROVIDENT PLACE (NPI 1508208877) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Apple Valley, California and active in the NPI registry since July 2013. The organization lists Dan Aparicio, President, as its authorized official.

NPPES Registry Identity

NPI1508208877

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NamePROVIDENT PLACE

Location Address15448 MONDAMON RDApple Valley, CA 92307-4557

Mailing Address964 E Badillo St # 523Covina, CA 91724-2950 · (626) 722-1352 · Fax (626) 966-0650

Phone(760) 242-4908

Organization SubpartNo

Authorized OfficialDan AparicioPresident · (626) 722-1352

Enumeration DateJuly 26, 2013

✔ NPI 1508208877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

15448 MONDAMON RD, Apple Valley, CA 92307

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

HIGH DESERT HAVEN

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

15448 MONDAMON RD
APPLE VALLEY, CA 92307

San Bernardino County (760) 240-9896

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 Provident Place's NPI number?

The NPI number for Provident Place is 1508208877. It was assigned to this organization in the NPPES registry on July 26, 2013.

Where is Provident Place located?

Provident Place is located at 15448 Mondamon Rd, Apple Valley, CA 92307. The listed phone number is (760) 242-4908.

What is Provident Place's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Provident Place was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.