# INTEGRATED ELDER CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Pines
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730627050
- **Authorized official:** MR. RAMON ACERETO (CEO)
- **Authorized official phone:** (909) 809-8570

## Contact information

- **Practice address:** 217 N GROVE ST, REDLANDS, CA 92374-6000
- **Practice address phone:** (909) 801-1911
- **Practice address fax:** (909) 557-8717
- **Mailing address:** 217 N GROVE ST, REDLANDS, CA 92374-6000
- **Mailing address phone:** (909) 809-8570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | CA | — |
| 177F00000X | Lodging Provider | — | CA | — |
| 251G00000X | Community Based Hospice Care Agency | — | CA | — |
| 251J00000X | Nursing Care Agency | — | CA | — |
| 310400000X | Assisted Living Facility | 366426701 | CA | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | CA | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | CA | — |
| 311Z00000X | Custodial Care Facility | — | CA | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | CA | — |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 01/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1730627050 | MEDI-CAL | CA |