Healthcare Provider Details

I. General information

NPI: 1972022937
Provider Name (Legal Business Name): PLAN-IT LIFE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2017
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39509 CEDARWOOD DR
MURRIETA CA
92563-5305
US

IV. Provider business mailing address

6235 RIVER CREST DR STE O
RIVERSIDE CA
92507-0758
US

V. Phone/Fax

Practice location:
  • Phone: 951-304-1040
  • Fax: 951-304-9767
Mailing address:
  • Phone: 951-653-7561
  • Fax: 951-742-7563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number336411179
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number336411179
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number336411179
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number336411179
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number336411179
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number336411179
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number336411179
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number336411179
License Number StateCA
# 9
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number336411179
License Number StateCA

VIII. Authorized Official

Name: NYRON MCLEAN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 951-742-7561