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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 198209146 | CA | Residential Treatment Facilities |
Street Address |
6705 SHOUP AVENUE |
City | WEST HILLS |
State | CA |
Zip Code | 91307 |
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 |
Find all providers in zip 91307 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | WEST HILLS |
Zip Code | 91307 |
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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.