WILLARD PEAK GROUP HOME, INC. - NPI 1922757012 - Custodial Care Facility in San Juan Capistrano, CA

Q: What is Willard Peak Group Home, Inc.'s NPI number?

The NPI number for Willard Peak Group Home, Inc. is 1922757012. It was assigned to this organization in the NPPES registry on March 23, 2022. The provider is doing business as Rising Adventure Community Services.

Q: What is Willard Peak Group Home, Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

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About Willard Peak Group Home, Inc. NPPES

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

WILLARD PEAK GROUP HOME, INC. (NPI 1922757012), doing business as Rising Adventure Community Services, is a healthcare organization registered as an adult care home in San Juan Capistrano, California and active in the NPI registry since March 2022. The organization lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1922757012

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameWILLARD PEAK GROUP HOME, INC.

Location Address29222 RANCHO VIEJO RD STE 127San Juan Capistrano, CA 92675-1049

Mailing Address29222 Rancho Viejo Rd Ste 127San Juan Capistrano, CA 92675-1049 · (949) 540-1249 · Fax (949) 540-1966

Phone(949) 540-1249

Fax(949) 540-1966

Organization SubpartNo

Authorized OfficialSoon BurnamTreasurer · (949) 540-1249

Enumeration DateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1922757012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

29222 RANCHO VIEJO RD STE 127, San Juan Capistrano, CA 92675

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Other Names 1

Doing Business AsRising Adventure Community Services

Other Providers at the Same Location NPPES 9

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

FLAGSTONE HEALTHCARE CENTRAL LLC

Skilled Nursing Facility