MCLENNAN AVENUE HOME


Address: 12325 Mclennan Ave, Granada Hills, CA 91344-1716
Phone: 8188863172

MCLENNAN AVENUE HOME (NPI# 1629560263) 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) 1629560263
Entity Type Organization
Organization Name MCLENNAN AVENUE HOME
Practice Address 12325 Mclennan Ave
Granada Hills
CA 91344-1716
Practice Telephone 8188863172
Practice Fax Number 7473009108
Mailing Telephone 8188863172
Mailing Fax Number 7473009108
Enumeration Date 2018-05-30
Last Update Date 2018-05-30
Authorized Official Name MR. ROY L MARTIN II (PRESIDENT)
Authorized Official Telephone 3232535316
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 12325 MCLENNAN AVE
City GRANADA HILLS
State CA
Zip Code 91344-1716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558747451 Mclennan Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 12325 Mclennan Ave, Granada Hills, CA 91344-1716 2015-08-03

Providers in the same zip code

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1972066934 Apple Speech and Educational Services, Inc. Speech-Language Pathologist 16853 Rinaldi Street, Granada Hills, CA 91344 2019-04-08
1376016642 Hypnos Sleep Laboratory & Treatement Center, Inc Clinic/Center 17050 Chatsworth Blvd. Suite 243, Granada Hills, CA 91344 2019-01-09
1225503543 Miguel Angel Salas Naturopath 10315 Woodley Ave., Suite 103 & 104, Granada Hills, CA 91344 2018-10-13
1790264588 Ben Maguerrero Respiratory Therapist, Registered 16851 Simonds St, Granada Hills, CA 91344 2018-08-13
1265962856 Safe Med Tranz Inc. Non-emergency Medical Transport (VAN) 16000 Horace St, Granada Hills, CA 91344 2017-06-15
1942731302 Arthur Perez Physical Therapy Assistant 11233 Montgomery Ave., Granada Hills, Granada Hills, CA 91344 2017-03-27
1649718990 Eugene Tan Aguilar Nurse Practitioner 16718 San Fernando Mission Blvd, Granada Hills, CA 91344 2017-02-07
1295282739 San Fernando Mission Group Home Residential Treatment Facility, Emotionally Disturbed Children 17157 San Fernando Mission Blvd., Granada Hills, CA 91344 2016-09-01
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558747451 Mclennan Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 12325 Mclennan Ave, Granada Hills, CA 91344-1716 2015-08-03
1043446024 Le Foyer, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 16438 Blackhawk St, Granada Hills, CA 91344-6731 2009-06-04
1336391572 United Cerebral Palsy of La & Ventura Counties Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 10454 Amestoy Ave, Granada Hills, CA 91344-6225 2008-10-21
1700038940 Unitrd Cerebral Palsy of La & Ventura Counties Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 10458 Amestoy Ave, Granada Hills, CA 91344-6225 2008-10-21
1093741555 L&c Billing Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 15732 Blackhawk St, Granada Hills, CA 91344-7206 2006-06-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538776323 Calston Manor Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 44661 Calston Ave, Lancaster, CA 93535-3430 2020-09-25
1457966822 Invincible Villas, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 27539 Glasser Ave, Canyon Country, CA 91351-2039 2020-09-12
1528671633 Eliaa, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1229 Kelley Avenue, Corona, CA 92882-4207 2020-08-28
1902417090 Kavere Services Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 531 N Mills Ave, Lodi, CA 95242-2220 2020-08-12
1568071488 Jnp Residential Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1518 S Wadsworth Ave, Compton, CA 90220-3951 2020-07-27
1043833734 E&s Jensen Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 9629 Ridgerock Dr, Elk Grove, CA 95624-4461 2020-05-28
1124663588 The Caring Bunch Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4355 Sepulveda Blvd Apt 125, Sherman Oaks, CA 91403-3911 2019-11-08
1821655507 Creative Lifestyles Home Care Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1022 W Florence Ave, Los Angeles, CA 90044-2442 2019-05-28
1386160562 Blueprint Development Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2501 Sycamore Ln, Palmdale, CA 93551-1518 2017-08-18
1427592963 Carissa Group Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1048 Stowell Ranch Cir, Corona, CA 92881-4739 2016-12-16
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Competitor

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City GRANADA HILLS
Zip Code 91344

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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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