Beechwood Division
NPI 1164558714ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Rancho Cucamonga, CA
Intermediate Care Facility, Intellectual Disabilities in Rancho Cucamonga, California, registered in NPPES in February 2007, part of Monte Vista Child Care Center Inc. The authorized official on file is Deisy Odett Mendoza, Executive Director.
Overview
| NPI | 1164558714 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Monte Vista Child Care Center Inc |
| NPI issued | Feb 26, 2007 |
| Last updated in NPPES | Jun 1, 2026 |
| Certified by provider | Jun 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 240000757 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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