BRASWELLS IVY RETREAT LTD
NPI 1750352191
Skilled Nursing Facility in Mentone, CA

Active since February 01, 2006
2278 NICE AVE, MENTONE, CA 92359(909) 794-1189(909) 389-7449 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Braswells Ivy Retreat Ltd NPPES

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

BRASWELLS IVY RETREAT LTD (NPI 1750352191) is a healthcare organization registered as a skilled nursing facility in Mentone, California and active in the NPI registry since February 2006. The organization lists Valerie Candelaria, Director Of Ar, as its authorized official.

NPPES Registry Identity

NPI1750352191
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBRASWELLS IVY RETREAT LTD
Location Address2278 NICE AVEMentone, CA 92359-9655
Mailing Address2278 Nice AveMentone, CA 92359-9655 · (909) 794-1189 · Fax (909) 389-7449
Fax(909) 389-7449
Organization SubpartNo
Authorized OfficialValerie CandelariaDirector Of Ar · (909) 446-8754
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJune 30, 2008
NPI 1750352191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 240000158
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2278 NICE AVE, Mentone, CA 92359

Other Identifiers 4

Medicare OSCAR/certification555025CA
Other555025CA · Medicare Provider Number
Medicare ID-Type Unspecified555025CA
MedicaidZZT05985ICA

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.

Skilled Nursing Facility
2278 NICE AVE
MENTONE, CA 92359
Skilled Nursing Facility
2278 NICE AVE
MENTONE, CA 92359

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 Braswells Ivy Retreat Ltd's NPI number?

The NPI number for Braswells Ivy Retreat Ltd is 1750352191. It was assigned to this organization in the NPPES registry on February 1, 2006.

Where is Braswells Ivy Retreat Ltd located?

Braswells Ivy Retreat Ltd is located at 2278 Nice Ave, Mentone, CA 92359. The listed phone number is (909) 794-1189.

What is Braswells Ivy Retreat Ltd's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Braswells Ivy Retreat Ltd was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.