Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Respite Inc

Organization Child Intellectual and/or Developmental Disabilities Respite Care · NPI 1194489237

Providence Respite Inc is a Child Intellectual and/or Developmental Disabilities Respite Care in Upland, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 N Mountain Ave Ste 123C
Upland, CA 91786-5176
Phone: (909) 813-3783
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Intellectual and/or Developmental Disabilities Respite Care (primary) Taxonomy 385HR2060X

Record details

NPI number1194489237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beatriz Gabrielle — Owner · (909) 813-3793
NPI enumeratedOctober 25, 2021
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021
Mailing address400 N Mountain Ave Ste 123c, Upland, CA 91786-5176