CIRCLEBROOK
NPI 1669509402
Intermediate Care Facility, Intellectual Disabilities in Loma Linda, CA

Q: What is the provider's specialty?

The provider's specialty is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since February 28, 2007

1720 MOUNTAIN VIEW AVE, LOMA LINDA, CA 92354(909) 796-6915(909) 894-2878 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Intermediate Care Facility, Intellectual...

About CIRCLEBROOK

This page provides the complete NPI Profile along with additional information for Circlebrook, a provider established in Loma Linda, California operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1669509402 assigned on February 2007. The practitioner's primary taxonomy code is 315P00000X with license number 240000051 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Circlebrook. The authorized official of this NPI record is Doug Padgett (Ceo-president)

NPI: 1669509402 Verify this NPI
Provider Legal Name: MOUNTAIN VIEW CHILD CARE, INC
Other Organization Name: CIRCLEBROOK
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1720 MOUNTAIN VIEW AVE LOMA LINDA, CA 92354
Location Phone: (909) 796-6915
Location Fax: (909) 894-2878
Mailing Address: 1720 MOUNTAIN VIEW AVE LOMA LINDA, CA 92354
Mailing Phone: (909) 796-6915
Mailing Fax: (909) 894-2878
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-28-2007
Last Update Date: 01-22-2016
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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: Intermediate Care Facility, Intellectual Disabilities
Taxonomy Code: 315P00000X
Type: Nursing & Custodial Care Facilities
License No.: 240000051
License State: CA
Taxonomy Description: An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

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

Medicare

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

Medicaid

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: DOUG PADGETT
Authorized Official Title: CEO-PRESIDENT
Authorized Official Phone: (909) 796-6915

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
LTC80082I	MEDICAID (05)	CA