CITADEL COMMUNITY CARE FACILITIES
NPI 1134693153
Community/Behavioral Health in San Bernardino, CA

NPI Status: Active since January 12, 2019

Contact Information

568 N MOUNTAIN VIEW AVE
SAN BERNARDINO, CA
ZIP 92401
Phone: (909) 992-0929

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  • Organization
  • Community/Behavioral Health

About CITADEL COMMUNITY CARE FACILITIES

This page provides the complete NPI Profile along with additional information for Citadel Community Care Facilities, a provider established in San Bernardino, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1134693153 assigned on January 2019. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Annette Punimata (Executive Director)

NPI
1134693153
Provider Name
CITADEL COMMUNITY CARE FACILITIES
Entity Type
Organization
Location Address
568 N MOUNTAIN VIEW AVE SAN BERNARDINO, CA 92401
Location Phone
(909) 992-0929
Mailing Address
568 N MOUNTAIN VIEW AVE SAN BERNARDINO, CA 92401
Mailing Phone
(909) 992-0929
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-12-2019
Last Update Date
04-21-2022
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1253J00000XAgencies

Foster Care Agency

 
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
3261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
4261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
5261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 
6322D00000XResidential Treatment Facilities

Residential Treatment Facility, Emotionally Disturbed Children

 
7324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 
83245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

 

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

ANNETTE PUNIMATA

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(909) 992-0929

Reviews for CITADEL COMMUNITY CARE FACILITIES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134693153
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641296110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 2 + 9 + 6 + 1 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1134693153 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043784069CITADEL SHORT TERM SPECIALTY TREATMENT PROGRAMS
Organization
Community Based Residential Treatment Facility, Mental Illness568 N MOUNTAIN VIEW AVE
SAN BERNARDINO, CA 92401
(909) 992-0929
1649085739CITADEL COMMUNITY OF CARE
Organization
Clinic/Center568 N MOUNTAIN VIEW AVE
SAN BERNARDINO, CA 92401
(877) 857-1077

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134693153, enumerated in the NPI registry as an "organization" on January 12, 2019

The provider is located at 568 N Mountain View Ave San Bernardino, Ca 92401 and the phone number is (909) 992-0929

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on January 12, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.