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 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Rancho San Antonio Boys Home Inc. can be contacted via phone (818) 882-6400, or through Mcnair, Troy 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:
Map and Directions
Authorized official contact:
Name: Mcnair, Troy
Phone: (818) 882-6400

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 191202023 California

Profile Details

NPI number 1245613678
LBN Legal business name Rancho San Antonio Boys Home Inc.
DBA Doing business as Rsa Bro Johns House Strtp
Authorized official Mcnair, Troy
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 2nd, 2015
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1245613678 NPPES
California Other 19B7 MEDI-CAL PROVIDER NUMBER
California Other 02172 MEDI-CAL PROVIDER NUMBER

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