OrganizationActive
Blvd Centers, Inc.
NPI 1083136188 · Substance Abuse Rehabilitation Facility · Corona, CA
Provider details
- NPI number
- 1083136188
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jason Monroe, Coo(602) 550-2211
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
518 Queensland Cir
Corona, CA 92879-1381
Phone: (424) 372-1123
Street-level locationGet directions
Mailing address
Po Box 512030
Los Angeles, CA 90051-0030
Registry dates
- Enumerated
- 2017-07-10
- Last updated
- 2017-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.