OrganizationActive
Braswells Ivy Retreat Ltd
NPI 1750352191 · Skilled Nursing Facility · Mentone, CA
Provider details
- NPI number
- 1750352191
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Valerie Candelaria, Director of Ar(909) 446-8754
- License
- 240000158 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2278 Nice Ave
Mentone, CA 92359-9655
Phone: (909) 794-1189
Fax: (909) 389-7449
Street-level locationGet directions
Mailing address
2278 Nice Ave
Mentone, CA 92359-9655
Registry dates
- Enumerated
- 2006-02-01
- Last updated
- 2008-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.