Mclennan Avenue Home

LBN: Mclennan Avenue Home
Mclennan Avenue Home is an health care organization with primary practice located at 12325 Mclennan Ave , Granada Hills CA 91344-1716. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Mclennan Avenue Home can be contacted via phone (818) 886-3172, or through Martin, Roy L via phone (323) 253-5316.

Contact Information

Primary practice address
12325 Mclennan Ave Granada Hills CA 91344-1716
Phone: (818) 886-3172
Fax: (747) 300-9108
Website:
Map and Directions
Authorized official contact:
Name: Martin, Roy L
Phone: (323) 253-5316

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1629560263
LBN Legal business name Mclennan Avenue Home
DBA Doing business as
Authorized official Martin, Roy L
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2018
Last updated Jan 16th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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