OrganizationActive
Erica B Independent Living Facility
NPI 1780434829 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Perris, CA
Provider details
- NPI number
- 1780434829
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Erica Graham-Bullock, Owner- Administrator(951) 226-1750
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
3656 Ginger St
Perris, CA 92571-7825
Phone: (951) 226-1750
Fax: (951) 200-4761
Street-level locationGet directions
Mailing address
3656 Ginger St
Perris, CA 92571-7825
Other names (DBA / former)
- Doing business as
- Erica B Independent Living Facility
Registry dates
- Enumerated
- 2024-03-22
- Last updated
- 2024-03-22
- Certified
- 2024-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.