Rancho San Antonio Boys Home Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RANCHO SAN ANTONIO BOYS HOME INC.

Practice address

21000 Plummer St
Chatsworth, CA 91311-4903

Phone

(818) 882-6400

Fax

(818) 882-6404

NPI assigned

Mar 6, 2019

Organization subpart

Yes

Parent organization

RANCHO SAN ANTONIO BOYS HOME INC.As reported in NPPES

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

Authorized official

Name

Kelley Butler, LCSW

Title

Mental Health Director

Phone

(818) 882-6400

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rancho San Antonio Doing business as

Tax ID family

Rancho San Antonio Boys Home Inc3 organizations share this tax ID, including this one

Part of

Rancho San Antonio Boys Home Inc

Other organizations with this tax ID 2

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

• Rancho San Antonio Boys Home Inc.

  • Community/Behavioral Health Agency
  • Chatsworth, CA
  • NPI 1245613678
  NPD tax ID
• Rancho San Antonio Boys Home, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Chatsworth, CA
  • NPI 1952038929
  NPD tax ID

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1023576261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 PLUMMER ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114903",
            "telephone_number": "818-882-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 PLUMMER ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114903",
            "telephone_number": "818-882-6400",
            "fax_number": "818-882-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO SAN ANTONIO BOYS HOME INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANCHO SAN ANTONIO BOYS HOME INC.",
        "enumeration_date": "2019-03-06",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "MENTAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "818-882-6400",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH",
            "identifier": "02172",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quality Living Care
• Monique Quintero
• Marilyn Rebeca Rabe
• Radiance Recovery Inc.
• Aurora Yaneth Ramirez
• Rancho San Antonio Boys Home Inc.
• Rancho San Antonio Boys Home, Inc.
• Eleanor Reasoner, OTR
• Mona R Reeves, RN
• Reflection and Recovery, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.