RESEDA RANCH (NPI# 1295393684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295393684 |
| Entity Type | Organization |
| Organization Name | RESEDA RANCH |
| Practice Address |
19013 Arminta St Reseda CA 91335-1104 |
| Mailing Address |
15725 Parthenia St North Hills CA 91343-4913 |
| Practice Telephone | 8188949301 |
| Practice Fax Number | 8188948841 |
| Mailing Telephone | 8188949301 |
| Mailing Fax Number | 8188948841 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | TETYANA WYNTER (DIRECTOR OF RESIDENTIAL SERVICES) |
| Authorized Official Telephone | 8188949301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Street Address |
19013 ARMINTA ST |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
| Find all providers in zip 91335 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134450018 | The Olive Tree Experience | Intermediate Care Facility, Mentally Retarded | 7834 Vanalden Ave, Reseda, CA 91335-1703 | 2010-01-16 |
| 1659581148 | Therapeutic Living Centers for The Blind, Inc | Intermediate Care Facility, Mentally Retarded | 18640 Elkwood St, Reseda, CA 91335-1848 | 2007-05-23 |
| 1568672053 | Therapeutic Living Centers for The Blind, Inc. | Intermediate Care Facility, Mentally Retarded | 7927 Lindley Ave, Unit A, Reseda, CA 91335-2122 | 2007-05-23 |
| 1093924912 | Therapeutic Living Centers for The Blind, Inc. | Intermediate Care Facility, Mentally Retarded | 7955 Lindley Ave, Reseda, CA 91335-2122 | 2007-05-21 |
| 1659499945 | Valverde | Intermediate Care Facility, Mentally Retarded | 7600 Vanalden Ave, Reseda, CA 91335-1752 | 2007-03-26 |
| 1639220163 | Valley Village | Intermediate Care Facility, Mentally Retarded | 6542 Baird Ave, Reseda, CA 91335-6033 | 2007-01-12 |
| 1427458892 | Ingomar Home | Intermediate Care Facility, Mentally Retarded | 19133 Ingomar St, Reseda, CA 91335-1720 | 2014-09-03 |
| 1275966459 | Keswick Home | Intermediate Care Facility, Mentally Retarded | 19133 Ingomar St, Reseda, CA 91335-1720 | 2013-08-12 |
| 1285845719 | Therapeutic Living Centers for The Blind, Inc. | Intermediate Care Facility, Mentally Retarded | 7927 Lindley Ave, Unit B, Reseda, CA 91335-2122 | 2007-05-25 |
| 1679783161 | Therapeutic Living Centers for The Blind, Inc. | Intermediate Care Facility, Mentally Retarded | 7955 Lindley Ave, Reseda, CA 91335-2122 | 2007-05-23 |
| Find all providers in RESEDA | ||||
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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.