Rsa Bro Johns House Strtp
LBN: Rancho San Antonio Boys Home Inc.
Rsa Bro Johns House Strtp is an health care organization with primary practice located at 21000 Plummer St , Chatsworth CA 91311-4903. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
Rancho San Antonio Boys Home Inc. can be contacted via phone (818) 882-6400, or through Butler, Kelley via phone (818) 882-6400.
Contact Information
Primary practice address
21000 Plummer St
Chatsworth CA 91311-4903
Phone: (818) 882-6400
Fax: (818) 882-6404
Website:
Authorized official contact:
Name: Butler, Kelley Licensed Clinical Social Worker (LCSW)
Phone: (818) 882-6400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X |
Profile Details
| NPI number | 1023576261 |
|---|---|
| LBN Legal business name | Rancho San Antonio Boys Home Inc. |
| DBA Doing business as | Rsa Bro Johns House Strtp |
| Authorized official | Butler, Kelley Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 6th, 2019 |
| Last updated | Mar 7th, 2023 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023576261 | NPPES |
| California | Other | 19B7 | MEDI-CAL PROVIDER |
| California | Other | 02172 | MEDI-CAL PROVIDER |
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