# MOCKINGBIRD HEALTHCARE SERVICES LLC

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

## Provider details

- **NPI number:** 1134923758
- **Authorized official:** KADEN YOUNG (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (562) 308-8269

## Contact information

- **Practice address:** 18510 MOCKINGBIRD CANYON RD, RIVERSIDE, CA 92504-9691
- **Practice address phone:** (562) 308-8269
- **Mailing address:** 18510 MOCKINGBIRD CANYON RD, RIVERSIDE, CA 92504-9691
- **Mailing address phone:** (562) 308-8269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2025
- **Last updated:** 05/08/2025