OPTIMIST BOYS' HOME AND RANCH, INC.


Address: 14820 Wolfskill St, Mission Hills, CA 91345-1843
Phone: 3234433175

OPTIMIST BOYS' HOME AND RANCH, INC. (NPI# 1518400282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518400282
Entity Type Organization
Organization Name OPTIMIST BOYS' HOME AND RANCH, INC.
Other Organization Name OPTIMIST MISSION HILLS
Practice Address 14820 Wolfskill St
Mission Hills
CA 91345-1843
Mailing Address 6957 N Figueroa St
Los Angeles
CA 90042-1245
Practice Telephone 3234433175
Mailing Telephone 3234433175
Mailing Fax Number 3233445124
Enumeration Date 2016-11-29
Last Update Date 2016-12-05
Authorized Official Name MR. SILVIO JOHN ORLANDO (CEO)
Authorized Official Telephone 3234433127
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility 191201124 CA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDI-CAL PROVIDER 00781 01

Other Provider/Organization Names

Other Name Type Code
Optimist Mission Hills Other Name - Individual/Organization

Other Provider IDs and Locations

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
1265561864 Optimist Boys' Home and Ranch, Inc. Community/Behavioral Health 1635 Silver Oak Terrace, Los Angeles, CA 90041-3121 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
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

Office Location

Street Address 14820 WOLFSKILL ST
City MISSION HILLS
State CA
Zip Code 91345-1843

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639208259 Optimist Boys' Home and Ranch, Inc. Community/Behavioral Health 14820 Wolfskill St, Mission Hills, CA 91345-1843 2007-03-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376141499 Alpha Hospice Hospice Care, Community Based 15455 Devonshire St Suite 100a, Mission Hills, CA 91345 2020-10-12
1740725639 Vivian Insua-lopez, Psy.d, Psychologist, Inc Psychologist 15455 San Fernando Misson Blvd., #308, Mission Hills, CA 91345 2016-12-30
1699162941 Nancy M Kim Inc Family Medicine 11550 Indiana Hills Rd, 301, Mission Hills, CA 91345 2015-04-23
1881940088 Prohealth-valley Occupational Medical Group Clinic/Center 10630 Sepulveda Blvd., Suite 100, Mission Hills, CA 91345 2012-07-25
1942588868 Trauma & Critical Care Sfv Group Inc Surgery 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 2011-07-26
1679860084 Mirna G Villatoro Residential Treatment Facility, Physical Disabilities 11100 Sepulveda Blvd, # 232, Mission Hills, CA 91345 2011-07-06
1093010944 Ana Yvette Alvarez Rehabilitation Practitioner 11565 Laurel Canyon Blvd. Suite 116, Mission Hills, CA 91345 2011-01-24
1811226392 Tender Home Health Home Health 10117 Sepulveda Blvd Ste 205a, Mission Hills, CA 91345 2009-12-14
1033387279 Jamal Elias Khoury Chiropractor 15336 Devonshire St. Ste 3, Mission Hills, CA 91345 2008-02-11
1043497282 Ana Elena Aldana Counselor 10200 Sepulveda Blvd., Unit 100, Mission Hills, CA 91345 2008-01-30
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

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Competitor

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City MISSION HILLS
Zip Code 91345

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Dataset Information

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.

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