PADUA VILLAGE INC – NPI #1700969698
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

PADUA VILLAGE INC is a residential treatment facility (RTF) located in LUCERNE VALLEY, CA. NPPES has assigned the NPI number 1700969698 to PADUA VILLAGE INC on October 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PADUA VILLAGE INC below.

NPI Profile for
PADUA VILLAGE INC

NPI Number
1700969698
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PADUA VILLAGE INC
Primary location
11981 MIDWAY
LUCERNE VALLEY, CA 92356
Phone: (760) 248-6245 Fax: (760) 247-7354
Mailing address
PO BOX 6001
POMONA, CA 91769-6001
Phone: (909) 596-7733 Fax: (909) 593-9417
Organization Subpart
No
Authorized Official
FELICE LOVERSO
PRESIDENT & CEO
Phone: (909) 596-7733
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320700000X
- Residential Treatment Facility, Physical Disabilities (Primary)
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.