PENNY LANE CENTERS (NPI# 1568912863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568912863 |
| Entity Type | Organization |
| Organization Name | PENNY LANE CENTERS |
| Other Organization Name | PENNY LANE CENTERS-MAIN FACILITY |
| Practice Address |
15302 Rayen St North Hills CA 91343-5118 |
| Mailing Address |
15305 Rayen St North Hills CA 91343-5117 |
| Practice Telephone | 8008640402 |
| Mailing Telephone | 8188923423 |
| Mailing Fax Number | 8188923574 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-16 |
| Authorized Official Name | MS. ROSANA LA FIANZA (DIRECTOR OF CLINIC OPERATIONS) |
| Authorized Official Telephone | 8188923423 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 191202002 | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Penny Lane Centers-Main Facility | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124535745 | Penny Lane Centers | Case Management | 9340 Noble Ave, North Hills, CA 91343-3406 | 2018-01-04 |
| 1053828665 | Penny Lane Centers | Case Management | 15330 Plummer St, North Hills, CA 91343-2228 | 2018-01-04 |
| 1053828673 | Penny Lane Centers | Case Management | 8817 Langdon Ave, North Hills, CA 91343-5004 | 2018-01-04 |
| 1962919589 | Penny Lane Centers | Case Management | 8855 Noble Ave Rm 12, North Hills, CA 91343-5518 | 2018-01-04 |
| 1962952267 | Penny Lane Centers | Community Based Residential Treatment Facility, Mental Illness | 9630 Wilbur Ave, Northridge, CA 91324-1853 | 2016-10-11 |
| 1710437009 | Penny Lane Centers | Community Based Residential Treatment Facility, Mental Illness | 13804 Osborne St, Arleta, CA 91331-6035 | 2016-10-11 |
| 1033669338 | Penny Lane Centers | Community Based Residential Treatment Facility, Mental Illness | 1610 N Valley St, Burbank, CA 91505-1714 | 2016-10-11 |
| 1346790631 | Penny Lane Centers | Community Based Residential Treatment Facility, Mental Illness | 8616 Valjean Ave, North Hills, CA 91343-5715 | 2016-10-11 |
| 1871043166 | Penny Lane Centers | Community Based Residential Treatment Facility, Mental Illness | 8806 Haskell Ave, North Hills, CA 91343-4910 | 2016-10-11 |
| 1417407719 | Penny Lane Centers | Community Based Residential Treatment Facility, Mental Illness | 11641 Balboa Blvd, Granada Hills, CA 91344-2710 | 2016-10-11 |
| Street Address |
15302 RAYEN ST |
| City | NORTH HILLS |
| State | CA |
| Zip Code | 91343-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457482127 | Martha P Medina | Case Manager/Care Coordinator | 15302 Rayen St, North Hills, CA 91343-5118 | 2007-03-07 |
| 1144744749 | Carmen Armitage | Licensed Vocational Nurse | 15302 Rayen St, North Hills, CA 91343-5118 | 2017-07-26 |
| 1437326618 | Rosalyn Melody Campfield | Counselor | 15302 Rayen St, North Hills, CA 91343-5118 | 2008-05-15 |
| 1063689255 | Patricia Galindo | Counselor | 15302 Rayen St, North Hills, CA 91343-5118 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261681 | Esperanza Armenta | Case Manager/Care Coordinator | 16861 Parthenia Street, North Hills, CA 91343 | 2020-09-30 |
| 1295355758 | Island One and Associates | Social Worker | 9528 Lemona Ave, North Hills, CA 91343 | 2020-04-24 |
| 1154951416 | Estefanie Ramos | Case Manager/Care Coordinator | 16861 Parthenia St., North Hills, CA 91343 | 2020-01-24 |
| 1336793728 | Mitra Minovi | Dentist | 9444 Ruffner Ave, Northridge, CA 91343 | 2019-07-24 |
| 1649762600 | Reza Akbar, Dds, Inc. | Dentist | 15300 Parthenia St, North Hills, CA 91343 | 2018-06-05 |
| 1073002663 | Golmah Zarinkhou | Student in an Organized Health Care Education/Training Program | Va Sepulveda Ambulatory Care Center, 16111 Plummer, Street Dental Services (160), Bldg 10 Rm 1c-100, North Hills, CA 91343 | 2018-05-09 |
| 1740729037 | Ophelia Sanchez | Case Manager/Care Coordinator | 15305 Rayen, North Hills, CA 91343 | 2017-02-20 |
| 1386001519 | Ada Angeles | Dietitian, Registered | 15210 Parthenia, North Hills, CA 91343 | 2016-01-19 |
| 1043691371 | Valley Grace Home, Inc. | Skilled Nursing Facility | 16052 Chase St, North Hills, CA 91343 | 2015-06-11 |
| 1063828234 | Joshua Tree Healthcare, Inc. | Home Health | 16909 Parthenia St Ste 302a, Northridge, CA 91343 | 2014-07-08 |
| Find all providers in zip 91343 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346790631 | Penny Lane Centers | Community Based Residential Treatment Facility, Mental Illness | 8616 Valjean Ave, North Hills, CA 91343-5715 | 2016-10-11 |
| 1871043166 | Penny Lane Centers | Community Based Residential Treatment Facility, Mental Illness | 8806 Haskell Ave, North Hills, CA 91343-4910 | 2016-10-11 |
| 1922558238 | Penny Lane Centers | Community Based Residential Treatment Facility, Mental Illness | 16656 Nordhoff St, North Hills, CA 91343-3613 | 2016-10-11 |
| 1346790714 | Penny Lane Centers | Community Based Residential Treatment Facility, Mental Illness | 9723 Burnet Ave, North Hills, CA 91343-2312 | 2016-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HILLS |
| Zip Code | 91343 |
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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.