SB HOME INC


Address: 781 Canyon View Dr, Laverne, CA 91750
Phone: 9095924802

SB HOME INC (NPI# 1477784767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477784767
Entity Type Organization
Organization Name SB HOME INC
Practice Address 781 Canyon View Dr
Laverne
CA 91750
Mailing Address P.o. Box 4861
Sandimas
CA 91773
Practice Telephone 9095924802
Practice Fax Number 9095923432
Mailing Telephone 9095924802
Mailing Fax Number 9095923432
Enumeration Date 2009-08-04
Last Update Date 2009-08-11
Authorized Official Name MR. JAYDEV BHAVSAR (ADMINISTRATOR)
Authorized Official Telephone 9095926003
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 197801815 CA Residential Treatment Facilities

Office Location

Street Address 781 CANYON VIEW DR
City LAVERNE
State CA
Zip Code 91750

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1548893324 Alexis Ashley Andom Occupational Therapist 2061 Wright Ave., La Verne, CA 91750 2020-02-19
1952810855 Wendy P Marrufo Physical Therapist 2590 Hayes Drive, La Verne, CA 91750 2017-09-22
1770006009 Lineth Fiorella Florian Family Medicine 2333 Foothill Blvd, La Verne, CA 91750 2017-07-18
1205204765 Heather Amanda Jantz Garcia Specialist 2061 Wright Avenue, Suite A-7, La Verne, CA 91750 2015-09-14
1255779864 Carla Ureno Counselor 911 Herbine Street, La Verne, CA 91750 2013-06-06
1538459011 Sameer K Hassamal Psychiatry & Neurology 4201 Hartshorn Ranch Pl, La Verne, CA 91750 2011-04-18
1134351695 Robin Lorinne Clarkson Physical Therapist 2125 Wright Avenue, Ste C1, La Verne, CA 91750 2009-08-18
1295978872 Vi Hung Ly Chiropractor 1145 Foothill Blvd., La Verne, CA 91750 2009-04-13
1700906138 Laura Nazaryan Physical Therapist 2123 Foothill Blvd Ste D, La Verne, CA 91750 2007-03-30
1073639175 Tommy L Daniel Counselor 233. W. Baseline Rd, Laverne, CA 91750 2007-03-21
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

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1093257545 Casa Edithafoundation Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1756 N Hill Ave, Pasadena, CA 91104-1429 2016-11-15
1336696046 Mj Asset Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1315 W Merced Ave, West Covina, CA 91790-3904 2016-09-10
1639571599 New Providence Care Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5167 G St, Chino, CA 91710-5143 2014-09-23
1427459700 Good Samaritan Special Care Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 42612 35th St W, Lancaster, CA 93536-4105 2014-09-05
1699107581 Arnon LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8410 Springford Dr, Sun Valley, CA 91352-3648 2013-08-02
1790126423 Contemporary Behavior Consultants, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8032 E Bynum St, Long Beach, CA 90808-3231 2013-07-10
1588002216 Aacres Ca, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 2013-06-04
1073868279 Arnon LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8410 Springford Drive, Sun Valley, CA 91352-3648 2012-07-13
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Competitor

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City LAVERNE
Zip Code 91750

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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