NPIMap

Organization Active NPI

San Fernando Valley Association for the Retarded

  • Intellectual Disabilities Intermediate Care Facility
  • North Hills, CA
National Provider Identifier
1124247333
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
SAN FERNANDO VALLEY ASSOCIATION FOR THE RETARDED
Practice address
15859 Parthenia St
North Hills, CA 91343-4801
Phone
(818) 894-9301
Fax
(818) 894-8841
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roschell Ashley
Title
Residential Administrator
Phone
(818) 894-9301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

15859 Parthenia St
North Hills, CA 91343-4801

Mailing address

15725 Parthenia St
North Hills, CA 91343-4913
Phone (818) 894-9301

Other identifiers 1

IdentifierTypeStateIssuer
LTC60737FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
San Fernando Valley Association for the Retarded7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124247333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 PARTHENIA ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434913",
            "telephone_number": "818-894-9301",
            "fax_number": "818-894-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15859 PARTHENIA ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434801",
            "telephone_number": "818-894-9301",
            "fax_number": "818-894-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FERNANDO VALLEY ASSOCIATION FOR THE RETARDED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "ROSCHELL",
        "authorized_official_title_or_position": "RESIDENTIAL ADMINISTRATOR",
        "authorized_official_telephone_number": "818-894-9301"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60737F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.