OPTIMIST BOYS' HOME AND RANCH, INC. (NPI# 1265561864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265561864 |
| Entity Type | Organization |
| Organization Name | OPTIMIST BOYS' HOME AND RANCH, INC. |
| Other Organization Name | OPTIMIST EAGLE ROCK GROUP HOME |
| Practice Address |
1635 Silver Oak Terrace Los Angeles CA 90041-3121 |
| Mailing Address |
6957 N Figueroa St Los Angeles CA 90042-1245 |
| Practice Telephone | 3232561288 |
| Practice Fax Number | 3232561654 |
| Mailing Telephone | 3234433129 |
| Mailing Fax Number | 3234433264 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-02-09 |
| Authorized Official Name | MR. SILVIO JOHN ORLANDO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3234433127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER NUMBER | 7344S | 01 |
| Other Name | Type Code |
|---|---|
| Optimist Eagle Rock Group Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770026544 | Optimist Boys' Home and Ranch, Inc. | Psychiatric Residential Treatment Facility | 1635 Silver Oak Ter, Los Angeles, CA 90041-3121 | 2016-11-29 |
| 1902935190 | Optimist Boys' Home and Ranch, Inc. | Community/Behavioral Health | 7003 N Figueroa St, Los Angeles, CA 90042-1247 | 2007-03-05 |
| 1639208259 | Optimist Boys' Home and Ranch, Inc. | Community/Behavioral Health | 14820 Wolfskill St, Mission Hills, CA 91345-1843 | 2007-03-02 |
| 1871622498 | Optimist Boys' Home and Ranch, Inc. | Community/Behavioral Health | 520 W Palmdale Blvd Ste Def&g, Palmdale, CA 93551-4229 | 2007-03-02 |
| 1518400282 | Optimist Boys' Home and Ranch, Inc. | Psychiatric Residential Treatment Facility | 14820 Wolfskill St, Mission Hills, CA 91345-1843 | 2016-11-29 |
| 1811430580 | Optimist Boys' Home and Ranch, Inc. | Psychiatric Residential Treatment Facility | 7130 Burnet Ave, Van Nuys, CA 91405-2963 | 2016-11-29 |
| 1023551892 | Optimist Boys' Home and Ranch, Inc. | Psychiatric Residential Treatment Facility | 20209 Tillman Ave, Carson, CA 90746-3066 | 2016-11-29 |
| 1013450857 | Optimist Boys' Home and Ranch, Inc. | Community/Behavioral Health | 16350 Filbert St, Sylmar, CA 91342-1002 | 2016-11-28 |
| 1710011028 | Optimist Boys' Home and Ranch, Inc. | Community/Behavioral Health | 16350 Filbert St, Sylmar, CA 91342-1002 | 2007-03-16 |
| 1477681096 | Optimist Boys' Home and Ranch, Inc. | Community/Behavioral Health | 6957 N Figueroa St, Los Angeles, CA 90042-1245 | 2007-03-02 |
| Street Address |
1635 SILVER OAK TERRACE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90041-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994501 | Josephine Villanueva | Technician | 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 | 2019-10-22 |
| 1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
| 1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1346640026 | Angelynn Hermes | Social Worker | 850 Colorado Blvd Ste 102, Los Angeles, CA 90041 | 2014-08-29 |
| 1205181179 | Michael E Ignacio | Dentist | 1916 W. Colorado, Los Angeles, CA 90041 | 2012-07-17 |
| 1093074999 | Marilyn Henry Murphy | Psychologist | 4368 Eagle Rock Boulevard, Los Angeles, CA 90041 | 2012-05-11 |
| 1235434911 | Mohammad Khaknegar | Dentist | 2455 Colorado Blvd., #16, Los Angeles, CA 90041 | 2011-01-11 |
| 1174844088 | Ileana Escobedo | Marriage & Family Therapist | 1551 Waldran Ave, Los Angeles, CA 90041 | 2010-06-15 |
| 1649404963 | Metro Healthcare Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 4515 Eagle Rock Blvd., Ste 111-c, Los Angeles, CA 90041 | 2009-05-14 |
| Find all providers in zip 90041 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1841807666 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 10101 S Broadway, Los Angeles, CA 90003-4534 | 2020-09-25 |
| 1730795188 | Connect Therapies | Community/Behavioral Health | 801 S Beverly Glen Blvd, Los Angeles, CA 90024-4603 | 2020-09-21 |
| 1396358735 | United Therapy Center,inc | Community/Behavioral Health | 12777 W Jefferson Blvd # D3020, Los Angeles, CA 90066-7048 | 2020-08-25 |
| 1174149769 | Amanecer Community Counseling Service, A Non-profit Corporation | Community/Behavioral Health | 3750 W 6th St, Los Angeles, CA 90020-5100 | 2020-06-19 |
| 1902421290 | Exceptional Wellness of California Incorporated | Community/Behavioral Health | 626 Wilshire Blvd Ste 410, Los Angeles, CA 90017-2915 | 2020-06-11 |
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780226977 | Children's Institute, Inc. | Community/Behavioral Health | 7001 S St Andrews Pl, Los Angeles, CA 90047-1833 | 2019-10-09 |
| 1780238675 | Igcn Healthcare Partners | Community/Behavioral Health | 6153 Colgate Ave, Los Angeles, CA 90036-3127 | 2019-07-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90041 |
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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.