Organization Active NPI

Mystis Adult and Family SVCS LLC

  • Case Manager/Care Coordinator
  • Santa Clarita, CA
National Provider Identifier
1104692615
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MYSTIS ADULT AND FAMILY SVCS LLC
Practice address
25000 Avenue Stanford Ste 138
Santa Clarita, CA 91355-4594
Phone
(833) 312-7466
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Giovanne SchachereNPI 1063069011
Title
Chief of Programs
Phone
(833) 312-7466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

25000 Avenue Stanford Ste 138
Santa Clarita, CA 91355-4594

Mailing address

25000 Avenue Stanford Ste 138
Santa Clarita, CA 91355-4594

National Provider Directory

National Provider Directory

Locations

25000 Avenue Stanford
Ste 138
Santa Clarita, CA 91355
Phone (833) 312-7466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1104692615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 138",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913554594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 138",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913554594",
            "telephone_number": "833-312-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSTIS ADULT AND FAMILY SVCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "SCHACHERE",
        "authorized_official_first_name": "GIOVANNE",
        "authorized_official_title_or_position": "CHIEF OF PROGRAMS",
        "authorized_official_telephone_number": "833-312-7466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.