Organization Active NPI

Mitchell Boys Home Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Lancaster, CA
National Provider Identifier
1073071056
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MITCHELL BOYS HOME INC
Practice address
43728 22ND St E
Lancaster, CA 93535-5650
Phone
(323) 804-0476
NPI assigned
Mar 8, 2019
Last updated
Apr 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Mr. Bomtea Mitchell
Title
Ceo
Phone
(323) 804-0476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

43728 22ND St E
Lancaster, CA 93535-5650

Mailing address

43728 22ND St E
Lancaster, CA 93535-5650
Phone (323) 804-0476

Other names 1

  • Mitchell Boys Home INC Other name

National Provider Directory

National Provider Directory
Tax ID family
Mitchell Boys Home Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1073071056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43728 22ND ST E",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935355650",
            "telephone_number": "323-804-0476",
            "fax_number": "866-250-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43728 22ND ST E",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935355650",
            "telephone_number": "323-804-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL BOYS HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "BOMTEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-804-0476",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Boys Home INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.