NPIMap

Organization Active NPI

Deanco Healthcare LLC.

  • Psychiatric Hospital Unit
  • Panorama City, CA
National Provider Identifier
1013061597
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
930000101 Issued in CA
Legal business name
DEANCO HEALTHCARE LLC.
Practice address
14850 Roscoe Blvd
Panorama City, CA 91402
Phone
(818) 787-2222
Fax
(818) 904-3650
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mihi Lee
Title
Chief Financial Officer
Phone
(818) 304-8644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 930000101 CA Primary

Addresses

Primary practice location

14850 Roscoe Blvd
Panorama City, CA 91402

Mailing address

14850 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 787-2222

Other identifiers 3

IdentifierTypeStateIssuer
HSM30704FMedicaidCA
HSC30704FMedicaidCA
HSP40704FMedicaidCA

Other names 1

  • Mission Community Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Deanco Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17609 Ventura Blvd
Ste 304
Encino, CA 91316
Phone (818) 788-5533

15503 Ventura Blvd
Ste 150
Encino, CA 91436
Phone (818) 461-3321

6221 Wilshire Blvd
Ste 504
Los Angeles, CA 90048
Phone (323) 965-9995

7409 S Broadway
Los Angeles, CA 90003
Phone (213) 328-2385

6734 Lankershim Blvd
North Hollywood, CA 91606
Phone (818) 762-1270

7227 Reseda Blvd
Reseda, CA 91335
Phone (818) 708-7227

12626 Riverside Dr
Ste 101
Valley Village, CA 91607
Phone (310) 560-5189

14411 Hamlin St
Van Nuys, CA 91401
Phone (818) 994-0616

15216 Vanowen St
Ste 2A
Van Nuys, CA 91405
Phone (818) 212-4307

Practitioners & affiliated clinicians

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 94

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1013061597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14850 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-787-2222",
            "fax_number": "818-904-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-787-2222",
            "fax_number": "818-904-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANCO HEALTHCARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIHI",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "818-304-8644"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "930000101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM30704F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30704F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40704F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.