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NPI 1578879599 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Porterville, CA
Provider details
- NPI number
- 1578879599
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Breann Deboer, Licensee(559) 350-3695
- License
- 550001291 (CA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 550001291 (CA)
Residential Treatment Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2211 W Orange Ave
Porterville, CA 93257-7305
Phone: (559) 350-3695
Fax: (559) 793-2718
Street-level locationGet directions
Mailing address
2211 W Orange Avenue
Porterville, CA 93257-7000
Registry dates
- Enumerated
- 2010-08-27
- Last updated
- 2010-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.