Organization
AVCG CARE GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL ANTHONY DITA CONVENTO (CEO)
(951) 289-0180
Entity
Organization
Contact information
Practice address
5175 VAN BUREN BLVD, RIVERSIDE, CA 92503-2618
(951) 289-0180
Mailing address
8237 CYPRESS AVE, FONTANA, CA 92335-3425
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
314000000X
Skilled Nursing Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/12/2025
Last updated
02/10/2026
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