PENNY LANE CENTERS


Address: 9630 Wilbur Ave, Northridge, CA 91324-1853
Phone: 8183498812

PENNY LANE CENTERS (NPI# 1962952267) 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) 1962952267
Entity Type Organization
Organization Name PENNY LANE CENTERS
Other Organization Name PENNY LANE CENTERS-SATELLITE VII
Practice Address 9630 Wilbur Ave
Northridge
CA 91324-1853
Mailing Address 15305 Rayen St
North Hills
CA 91343-5117
Practice Telephone 8183498812
Mailing Telephone 8188923423
Mailing Fax Number 8188923574
Enumeration Date 2016-10-11
Last Update Date 2016-10-16
Authorized Official Name MS. ROSANA LA FIANZA (DIRECTOR OF CLINIC OPERATIONS)
Authorized Official Telephone 8188923423
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness 191202002 CA Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Penny Lane Centers-Satellite VII Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124535745 Penny Lane Centers Case Management 9340 Noble Ave, North Hills, CA 91343-3406 2018-01-04
1053828665 Penny Lane Centers Case Management 15330 Plummer St, North Hills, CA 91343-2228 2018-01-04
1053828673 Penny Lane Centers Case Management 8817 Langdon Ave, North Hills, CA 91343-5004 2018-01-04
1962919589 Penny Lane Centers Case Management 8855 Noble Ave Rm 12, North Hills, CA 91343-5518 2018-01-04
1710437009 Penny Lane Centers Community Based Residential Treatment Facility, Mental Illness 13804 Osborne St, Arleta, CA 91331-6035 2016-10-11
1033669338 Penny Lane Centers Community Based Residential Treatment Facility, Mental Illness 1610 N Valley St, Burbank, CA 91505-1714 2016-10-11
1346790631 Penny Lane Centers Community Based Residential Treatment Facility, Mental Illness 8616 Valjean Ave, North Hills, CA 91343-5715 2016-10-11
1871043166 Penny Lane Centers Community Based Residential Treatment Facility, Mental Illness 8806 Haskell Ave, North Hills, CA 91343-4910 2016-10-11
1417407719 Penny Lane Centers Community Based Residential Treatment Facility, Mental Illness 11641 Balboa Blvd, Granada Hills, CA 91344-2710 2016-10-11
1922558238 Penny Lane Centers Community Based Residential Treatment Facility, Mental Illness 16656 Nordhoff St, North Hills, CA 91343-3613 2016-10-11

Office Location

Street Address 9630 WILBUR AVE
City NORTHRIDGE
State CA
Zip Code 91324-1853

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649803461 Endeavor Recovery LLC Clinic/Center 8537 Yolanda Ave, Northridge, CA 91324 2020-02-20
1780227769 Drs Concepts, Incorporated Clinic/Center 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 2019-10-23
1023674421 Expo Diagnostics, Inc. Clinic/Center 8619 Receda Blvd., Northridge, CA 91324 2019-05-13
1235601444 Grace Peprah Marriage & Family Therapist 19037 Community Street, Northridge, CA 91324 2018-12-28
1336635531 Kristel Fortuny Bushner Specialist/Technologist 9555 Reseda Blvd, 309, Northridge, CA 91324 2018-07-11
1710474358 Rara Enterprises Inc Pharmacy 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 2018-04-19
1205343670 Mariana Nicol Valdez Castro Behavior Technician 9335 Reseda Blvd # 101, Northridge, CA 91324 2018-01-05
1033655220 Benyaminy and Kashani Dds,inc. Clinic/Center 8954 Reseda Blvd #100, Northridge, CA 91324 2017-01-11
1366809915 Tia Brisco Counselor 9700 Reseda Blvd Ste 208, Northridge, CA 91324 2016-01-26
1053780189 Saloni Kadakia Student in an Organized Health Care Education/Training Program Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 2015-09-18
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497205793 Penny Lane Centers Community Based Residential Treatment Facility, Mental Illness 9845 Hayvenhurst Ave, Northridge, CA 91343-1848 2016-10-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538244 Evolve Growth Initiatives LLC Community Based Residential Treatment Facility, Mental Illness 10525 Fuerte Dr, La Mesa, CA 91941-4350 2020-11-05
1154922458 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 24171 Grayston Dr, Lake Forest, CA 92630-3839 2020-11-03
1003417684 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 1155 Hoover St, Carlsbad, CA 92008-4230 2020-11-02
1497356075 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 405 N Tremont St, Oceanside, CA 92054-2535 2020-11-02
1467053041 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 2020-11-02
1366043937 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 2020-11-02
1730780313 Orchid Court, Inc. Community Based Residential Treatment Facility, Mental Illness 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 2020-11-02
1477151199 Inspiring Pathways, Inc. Community Based Residential Treatment Facility, Mental Illness 1798 Bryman St, Hanford, CA 93230-7144 2020-10-14
1356949226 Wings Recovery Center, Inc. Community Based Residential Treatment Facility, Mental Illness 3134 Morningside Dr, Oceanside, CA 92056-4401 2020-10-13
1326645904 New Passages Group Home, Inc. Community Based Residential Treatment Facility, Mental Illness 5675 E Ashlan Ave, Fresno, CA 93727-7220 2020-10-06
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Competitor

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City NORTHRIDGE
Zip Code 91324

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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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