POM POM CASTLE (NPI# 1760753990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760753990 |
| Entity Type | Organization |
| Organization Name | POM POM CASTLE |
| Other Organization Name | CLEAN AND FREE |
| Practice Address |
14540 Hamlin St Suite D Van Nuys CA 91411-1626 |
| Practice Telephone | 8189946876 |
| Practice Fax Number | 8189976878 |
| Mailing Telephone | 8189946876 |
| Mailing Fax Number | 8189976878 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |
| Authorized Official Name | BELINDA BAKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3232941576 |
| Is Organization Subpart | Y |
| Parent Organization Name | POM POM CASTLE DBA CLEAN AND FREE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clean and Free | Doing Business As Name - Organization |
| Street Address |
14540 HAMLIN ST SUITE D |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91411-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871523068 | Silver Age None-emergency Medical Transportation | Non-emergency Medical Transport (VAN) | 14540 Hamlin St, Suite 1, Van Nuys, CA 91411-1626 | 2006-07-03 |
| 1780072769 | Charitable Home Health, Inc. | Hospice Care, Community Based | 14540 Hamlin St, Ste B2, Van Nuys, CA 91411-1626 | 2014-12-29 |
| 1790173771 | Charitable Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 14540 Hamlin St, Ste B1, Van Nuys, CA 91411-1626 | 2014-12-29 |
| 1700294741 | Bbd Advantage, Inc | Durable Medical Equipment & Medical Supplies | 14540 Hamlin St, Ste E-3, Van Nuys, CA 91411-1626 | 2014-07-22 |
| 1841632296 | Jennifer Porras | Counselor | 14540 Hamlin St, Suite I, Van Nuys, CA 91411-1626 | 2013-07-26 |
| 1225473317 | Miguel Angel Retana | Counselor | 14540 Hamlin St, Van Nuys, CA 91411-1626 | 2013-05-03 |
| 1760725212 | John Juwan Mcpherson | Counselor | 14540 Hamlin St, Suite #i, Van Nuys, CA 91411-1626 | 2013-04-03 |
| 1275892077 | Changing Steps Inc. | Community/Behavioral Health | 14540 Hamlin St, Suite I, Van Nuys, CA 91411-1626 | 2012-05-14 |
| 1194098236 | Danette Joslyn | Counselor | 14540 Hamlin St, Suite B1 B2, Van Nuys, CA 91411-1626 | 2012-02-21 |
| 1114223914 | Changing Steps | Community/Behavioral Health | 14540 Hamlin St, Suite B2, Van Nuys, CA 91411-1626 | 2011-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517085 | Full Heart Hospice and Palliative Care Inc | Hospice Care, Community Based | 14543 Friar Street, Ste. 102, Van Nuys, CA 91411 | 2020-10-29 |
| 1639632078 | Primary Care Homehealthcare Inc | Home Health | 14545 Friar Street, Suite 203-2, Van Nuys, CA 91411 | 2019-04-11 |
| 1639639800 | Jacklynne Marder | Counselor | 5900 Sepulveda Bld., Sherman Oaks, CA 91411 | 2019-03-22 |
| 1710478581 | Adriana Abraamyan | Rehabilitation Practitioner | 14515 Hamlin St Ste 103, Van Nuys, CA 91411 | 2018-05-28 |
| 1154820595 | Sls Home Health Inc. | Hospice Care, Community Based | 6411 Sepulveda Blvd Ste 1d, Van Nuys, CA 91411 | 2018-02-11 |
| 1376073197 | Age Well Congregate Living, Inc | Hospice Care, Community Based | 15149 Sylvan Street, Van Nuys, CA 91411 | 2017-06-14 |
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1740732023 | Behavior Trend | Behavioral Analyst | 5658 Sepulveda Blvd Ste 200, Sherman Oaks, CA 91411 | 2016-11-02 |
| 1851764682 | Deft Solutions | Clinic/Center | 15128 Burbank Blvd, 210, Sberman Oaks, CA 91411 | 2015-11-02 |
| 1417332941 | Marianna Mirakyan | Behavioral Analyst | 14980 Victory Blvd #202, Van Nuys, CA 91411 | 2015-07-27 |
| Find all providers in zip 91411 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1528567138 | Healthy Paradigms Treatment Center | Clinic/Center | 14407 Hamlin St Ste C, Van Nuys, CA 91401-6200 | 2018-02-08 |
| 1831591882 | Mt Renfield LLC | Clinic/Center | 17635 Vanowen St, Van Nuys, CA 91406-4353 | 2014-09-22 |
| 1891865069 | American Health Services LLC | Clinic/Center | 6265 Sepulveda Blvd Ste 9, Van Nuys, CA 91411-1126 | 2006-11-08 |
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| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
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| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
| 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.