OPTIMIST BOYS' HOME AND RANCH, INC. (NPI# 1770026544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770026544 |
| Entity Type | Organization |
| Organization Name | OPTIMIST BOYS' HOME AND RANCH, INC. |
| Other Organization Name | OPTIMIST EAGLE ROCK |
| Practice Address |
1635 Silver Oak Ter Los Angeles CA 90041-3121 |
| 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 | 2017-01-06 |
| Authorized Official Name | MR. SILVIO ORLANDO (CEO) |
| Authorized Official Telephone | 3234433127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 191890971 | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER | 00781 | 01 |
| Other Name | Type Code |
|---|---|
| Optimist Eagle Rock | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 TER |
| 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 | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134765530 | Bel Air Health Services Inc. | Psychiatric Residential Treatment Facility | 11240 Chalon Rd, Los Angeles, CA 90049-1719 | 2019-11-20 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| 1609279983 | The Renfrew Centers, Inc. | Psychiatric Residential Treatment Facility | 12121 Wilshire Boulevard, Suite 601, Los Angeles, CA 90025 | 2014-10-01 |
| 1457543894 | Mearle David Lewis | Psychiatric Residential Treatment Facility | 115 Barrington Walk, Los Angeles, CA 90049-2931 | 2007-08-09 |
| 1497884613 | Gateways Community Mhc | Psychiatric Residential Treatment Facility | 433 N Hoover St, Los Angeles, CA 90004-2306 | 2007-03-05 |
| 1215066436 | Gateways Percy Village | Psychiatric Residential Treatment Facility | 3455 Percy Street, Los Angeles, CA 90023 | 2007-03-05 |
| 1821625138 | Asc Treatment Group | Psychiatric Residential Treatment Facility | 2457 Endicott St, Los Angeles, CA 90032-3098 | 2020-03-25 |
| 1790228898 | Optimist Boys' Home & Ranch, Inc. | Psychiatric Residential Treatment Facility | 6957 N Figueroa St, Los Angeles, CA 90042-1245 | 2016-11-22 |
| 1730592643 | Evolve Growth Initiatives LLC | Psychiatric Residential Treatment Facility | 820 Moraga Dr, Los Angeles, CA 90049-1632 | 2014-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90041 |
Please comment or provide details below to improve the information on OPTIMIST BOYS' HOME AND RANCH, INC..
| 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.