MITCHELL BOYS HOME INC (NPI# 1073071056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073071056 |
| Entity Type | Organization |
| Organization Name | MITCHELL BOYS HOME INC |
| Other Organization Name | MITCHELL BOYS HOME INC |
| Practice Address |
43728 22nd St E Lancaster CA 93535-5650 |
| Practice Telephone | 3238040476 |
| Mailing Telephone | 3238040476 |
| Mailing Fax Number | 8662509117 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | MR. BOMTEA MITCHELL (CEO) |
| Authorized Official Telephone | 3238040476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mitchell Boys Home INC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437714631 | Mitchell Boys Home Inc | Clinic/Center | 43728 22nd St E, Lancaster, CA 93535-5650 | 2019-05-03 |
| Street Address |
43728 22ND ST E |
| City | LANCASTER |
| State | CA |
| Zip Code | 93535-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437714631 | Mitchell Boys Home Inc | Clinic/Center | 43728 22nd St E, Lancaster, CA 93535-5650 | 2019-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003464793 | Lovernie Arenque Pilarca | Technician | 42952 Yaffa St, Lancaster, CA 93535 | 2019-08-27 |
| 1528565934 | Danelly Luna | Behavioral Analyst | 340 E Avenue Suite 101, Lancaster, CA 93535 | 2018-04-11 |
| 1841791456 | Mary Sowah-quaye | Social Worker | 1326 East Cambridge Court, Lancaster, CA 93535 | 2018-02-28 |
| 1497272231 | Monica Arellano | Behavioral Analyst | 40526 176th St. E, Lancaster, CA 93535 | 2017-08-23 |
| 1679920227 | Kristina Doronila Gaddi | Licensed Vocational Nurse | 1308 East Cambridge Ct, Lancaster, CA 93535 | 2016-05-24 |
| 1558720839 | Eric Washington | Student in an Organized Health Care Education/Training Program | 43625 San Francisco Ave., Lancaster, CA 93535 | 2016-02-16 |
| 1215309935 | Anita Maria Hill | Registered Nurse | 44545 3rd Street E., Lancaster, CA 93535 | 2015-10-21 |
| 1538568548 | Roman Flores | Marriage & Family Therapist | 43520 Division St., Lancaster, CA 93535 | 2014-08-14 |
| 1083045496 | Wanda Elaine Smith | Assisted Living Facility | 1046 E. Lancaster Blvd, Lancaster, CA 93535 | 2013-12-11 |
| 1841624046 | Jennifer Lagare Hagerty | Nurse Practitioner | 335 East Avenue I, Lancaster, CA 93535 | 2013-08-25 |
| Find all providers in zip 93535 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1215558382 | Commonwealth Clinical Group, Inc. | Clinic/Center | 41 E Orange St, Lancaster, PA 17602-2846 | 2020-04-30 |
| 1437714631 | Mitchell Boys Home Inc | Clinic/Center | 43728 22nd St E, Lancaster, CA 93535-5650 | 2019-05-03 |
| 1770824617 | Ther Milton S. Hershey Medical Center | Clinic/Center | 2170 Noll Dr, Lancaster, PA 17603-7609 | 2013-03-01 |
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| Find all providers with the same taxonomy | ||||
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| 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.