Organization · Type 2 NPI

Beechwood Division

Intellectual Disabilities Intermediate Care Facility · Rancho Cucamonga, CA

NPI number 1164558714 Active

Practice location

7976 Beechwood Dr
Rancho Cucamonga, CA 91701-1830

Call (909) 899-5046 Map

Fax (909) 463-2005

Mailing address

13342 Victoria St
Rancho Cucamonga, CA 91739-2020

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	240000757 (CA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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NPI record

NPI: 1164558714
Entity type: Organization (Type 2)
Issued: Feb 26, 2007
Last updated: Jun 1, 2026
Status: Active
Subpart: Yes of Monte Vista Child Care Center Inc

Other names

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Beechwood Division · doing business as

Authorized official

Miss Deisy Odett Mendoza
Executive Director
(909) 912-9314

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164558714

Beechwood Division's National Provider Identifier is 1164558714, issued on Feb 26, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jun 1, 2026.