SHOURIDGE GROUP HOME


Address: 6705 Shoup Avenue, West Hills, CA 91307
Phone: 7472305928

SHOURIDGE GROUP HOME (NPI# 1649721473) 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) 1649721473
Entity Type Organization
Organization Name SHOURIDGE GROUP HOME
Practice Address 6705 Shoup Avenue
West Hills
CA 91307
Mailing Address 22455 Victory Blvd
West Hills
CA 91307
Practice Telephone 7472305928
Practice Fax Number 7472305928
Mailing Telephone 8185922960
Mailing Fax Number 8185922961
Enumeration Date 2016-10-17
Last Update Date 2016-10-17
Authorized Official Name MR. JORGE C MARQUEZ (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8185922960
Is Organization Subpart Y
Parent Organization Name CHILDREN'S HOMES OF SOUTHERN CALIFORNIA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 198209146 CA Residential Treatment Facilities

Office Location

Street Address 6705 SHOUP AVENUE
City WEST HILLS
State CA
Zip Code 91307

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548778152 Sk Marathon Home Care Custodial Care Facility 7246 Fallbrook Ave, West Hills, CA 91307 2018-01-17
1609393537 James R. Shields, M.d., A Medical Corporation Obstetrics & Gynecology 7301 Medical Center Drive, #206, West Hills, CA 91307 2017-08-22
1447785035 Natalie Rubinstein Speech-Language Pathologist 6708 Faust Ave, West Hills, CA 91307 2017-04-20
1497206205 Victory Group Home Residential Treatment Facility, Emotionally Disturbed Children 22455 Victory Blvd, West Hills, CA 91307 2016-10-17
1881141406 Shoup Group Home Residential Treatment Facility, Emotionally Disturbed Children 6450 Shoup Avenue, Woodland Hills, CA 91307 2016-09-01
1407216047 Shahriar Rezania Pharmacist 7300 Medical Center Drive, West Hills, CA 91307 2016-02-24
1780057570 Renee J Schuster-weiss Marriage & Family Therapist 6909 Minstrel Ave, West Hills, CA 91307 2015-11-03
1548649791 Rozita Amirian Pharmacist 7230 Medical Center Dr Ste 106, West Hills, CA 91307 2015-05-20
1629462643 Lorna David Occupational Therapist 7045 Sale Avenue, West Hills, CA 91307 2015-03-27
1558791038 Cherri Lynn Davies Marriage & Family Therapist 7507 Lena Ave., West Hills, CA 91307 2013-11-19
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497206205 Victory Group Home Residential Treatment Facility, Emotionally Disturbed Children 22455 Victory Blvd, West Hills, CA 91307 2016-10-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144820499 Catholic Charities of The Diocese of Oakland Residential Treatment Facility, Emotionally Disturbed Children 3700 Dorisa Ave, Oakland, CA 94605-4941 2020-10-27
1922607944 Inspire A Youth, Inc Residential Treatment Facility, Emotionally Disturbed Children 7556 Avenida Baja, Riverside, CA 92509-3449 2020-10-21
1235736554 Yvonne Dionne Robinson Residential Treatment Facility, Emotionally Disturbed Children 1223 E Helmick St, Carson, CA 90746-3163 2020-10-09
1740897784 Paradise Adolescent Home, Inc. Residential Treatment Facility, Emotionally Disturbed Children 602 Woodlark Dr, Suisun City, CA 94585-2244 2020-09-24
1548877657 T & T House of Champions Residential Treatment Facility, Emotionally Disturbed Children 2115 High St, Oakland, CA 94601-4335 2020-09-23
1902412182 Paradise Adolescent Home, Inc. Residential Treatment Facility, Emotionally Disturbed Children 136 Valdivia Cir, San Ramon, CA 94583-2228 2020-09-22
1073128492 Samuel Campbell Jr. Residential Treatment Facility, Emotionally Disturbed Children 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 2020-09-11
1336753433 Aaron's Boys Home Residential Treatment Facility, Emotionally Disturbed Children 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 2020-09-04
1699389452 Millie's Youth Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 2512 Havenscourt Blvd, Oakland, CA 94605-1935 2020-08-31
1538779871 Hidden Treasures Foundation, Inc Residential Treatment Facility, Emotionally Disturbed Children 1240 W 13th Ave, Escondido, CA 92025-5560 2020-08-02
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Competitor

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City WEST HILLS
Zip Code 91307

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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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