MEDICARE: NORMAL LIFE OF CALIFORNIA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962530220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORMAL LIFE OF CALIFORNIA, INC.

Provider Business Mailing Address
First Line	:	6600 FRANCE AVE S STE 350
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-1810
Country	:	US
Telephone Number	:	800-388-5150
Fax Number	:

Provider Business Practice Location Address
First Line	:	1040 OCCIDENTAL DRIVE
Second Line	:
City	:	CLAREMONT
State	:	CA
Zip	:	91711
Country	:	US
Telephone Number	:	714-537-3252
Fax Number	:

Authorized Official
Title or Position	:	CHIEF REGULATORY OFFICER SR ASST GC
Name	:	MARY PATRICIA RODENBERG-ROBERTS
Credential	:
Telephone Number	:	952-836-2234

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	06/16/2026

Similar Medicare Providers

1407781305 — JUSTIN NELSON
Practice Location Address:

535 WATSON DR
CLAREMONT, CA
91711-4817

Practice Phone: 909-607-7855
Practice Fax:

1215064589 — ROCKCREEK, INC.
Practice Location Address:

305 ARMSTRONG DR
CLAREMONT, CA
91711-1745

Practice Phone: 714-537-3252
Practice Fax:

1588790380 — ROCKCREEK, INC.
Practice Location Address:

501 BOWLING GREEN DR
CLAREMONT, CA
91711-2717

Practice Phone: 714-537-3252
Practice Fax:

1124155494 — ROCKCREEK, INC.
Practice Location Address:

4143 LAS CASAS AVE
CLAREMONT, CA
91711-2302

Practice Phone: 714-537-3252
Practice Fax:

1184751497 — NORMAL LIFE OF CALIFORNIA, INC.
Practice Location Address:

581 BLAISDELL DR
CLAREMONT, CA
91711-3555

Practice Phone: 714-537-3252
Practice Fax:

1063348050 — KASSIDY MORGAN SOTO
Practice Location Address:

250 W 1ST ST STE 250
CLAREMONT, CA
91711-4745

Practice Phone: 909-624-1997
Practice Fax:

Directions to “NORMAL LIFE OF CALIFORNIA, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.