Active NPI
Mitchell Boys Home Inc
- Adolescent and Children Mental Health Clinic/Center
- Lancaster, CA
National Provider Identifier
1073071056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Mitchell Boys Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- Lancaster, CA
- NPI 1437714631
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Lancaster, CA
- NPI 1437714631
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.