# PLUMERIA HOMES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124846571
- **Authorized official:** MILES BALLESTEROS (MANAGING PARTNER)
- **Authorized official phone:** (951) 255-1102

## Contact information

- **Practice address:** 211 S LAUREL AVE, ONTARIO, CA 91762-3833
- **Practice address phone:** (951) 255-1102
- **Mailing address:** 211 S LAUREL AVE, ONTARIO, CA 91762-3833
- **Mailing address phone:** (951) 255-1102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 10/02/2024