Fonthill Gardens Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

198204690 Issued in CA

Legal business name

FONTHILL GARDENS INC

Practice address

14103 Fonthill Ave
Hawthorne, CA 90250-8013

Phone

(310) 973-7242

Fax

(310) 973-7147

NPI assigned

Apr 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Rahmat Hussain Khan, FACS

Title

C.E.O

Phone

(310) 873-7242

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1114361102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14103 FONTHILL AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902508013",
            "telephone_number": "310-973-7242",
            "fax_number": "310-973-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14103 FONTHILL AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902508013",
            "telephone_number": "310-973-7242",
            "fax_number": "310-973-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTHILL GARDENS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RAHMAT",
        "authorized_official_middle_name": "HUSSAIN",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "310-873-7242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FACS"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": "198204690",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "198204690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.