Shoup Group Home

LBN: Shoup Group Home
Shoup Group Home is an health care organization with primary practice located at 6450 Shoup Avenue , Woodland Hills CA 91307. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Shoup Group Home can be contacted via phone (818) 347-3839, or through Marquez, Jorge C via phone (818) 592-2960.

Contact Information

Primary practice address
6450 Shoup Avenue Woodland Hills CA 91307
Phone: (818) 347-3839
Fax: (818) 347-3839
Website:
Map and Directions
Authorized official contact:
Name: Marquez, Jorge C
Phone: (818) 592-2960

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 197601995 California

Profile Details

NPI number 1881141406
LBN Legal business name Shoup Group Home
DBA Doing business as
Authorized official Marquez, Jorge C
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881141406 NPPES
California Other 197601995 DEPARTMENT OF SOCIAL SERVICES

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