ERICA B INDEPENDENT LIVING FACILITY
NPI 1689475105
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hemet, CA
- Organization
- Community Based Residential Treatment Fa...
About ERICA B INDEPENDENT LIVING FACILITY
This page provides the complete NPI Profile along with additional information for Erica B Independent Living Facility, a provider established in Hemet, California operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1689475105 assigned on March 2025. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Erica Graham- Bullock (Owner)
- NPI
- 1689475105 Verify this NPI
- Provider Name
- ERICA B INDEPENDENT LIVING FACILITY
- Entity Type
- Organization
- Location Address
- 1779 E FLORIDA AVE STE B1 HEMET, CA 92544
- Location Phone
- (818) 818-1817
- Mailing Address
- PO BOX 57 PERRIS, CA 92572
- Mailing Phone
- (951) 226-1750
- Mailing Fax
- (951) 200-4761
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2025
- Last Update Date
- 03-20-2025
- Code Navigator
Location Map
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, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
HEMET, CA 92544
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689475105, enumerated as an "organization" on March 20, 2025.
The provider is located at 1779 E FLORIDA AVE STE B1 HEMET, CA 92544 and the phone number is (818) 818-1817.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
