NPIMap

Organization Active NPI

Rancho San Antonio Boys Home Inc.

Doing business as Rancho San Antonio

  • Community/Behavioral Health Agency
  • Chatsworth, CA
National Provider Identifier
1245613678
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RANCHO SAN ANTONIO BOYS HOME INC.
Doing business as
Rancho San Antonio
Practice address
21000 Plummer St
Chatsworth, CA 91311-4903
Phone
(818) 882-6400
Fax
(818) 882-6404
NPI assigned
Jul 2, 2015
Organization subpart
Yes
Parent organization
RANCHO SAN ANTONIO BOYS HOME INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Zeenat K. Burse, LMFTNPI 1649302449
Title
Contracts and Compliance Director
Phone
(818) 882-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

21000 Plummer St
Chatsworth, CA 91311-4903

Mailing address

21000 Plummer St
Chatsworth, CA 91311-4903
Phone (818) 882-6400

Other identifiers 3

IdentifierTypeStateIssuer
02172OtherCALA COUNTY DEPARTMENT OF MENTAL HEALTH
19B7MedicaidCA
19RIMedicaidCA

Other names 2

  • Rancho San Antonio Doing business as
  • RSA Bro Johns House STRTP Other name

National Provider Directory

National Provider Directory
Tax ID family
Rancho San Antonio Boys Home Inc3 organizations share this tax ID, including this one
Part of
Rancho San Antonio Boys Home Inc

Other organizations with this tax ID 2

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

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": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1245613678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 PLUMMER ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114903",
            "telephone_number": "818-882-6400",
            "fax_number": "818-882-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 PLUMMER ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114903",
            "telephone_number": "818-882-6400",
            "fax_number": "818-882-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO SAN ANTONIO BOYS HOME INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANCHO SAN ANTONIO BOYS HOME INC.",
        "enumeration_date": "2015-07-02",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "BURSE",
        "authorized_official_first_name": "ZEENAT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CONTRACTS AND COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "818-882-6400",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA COUNTY DEPARTMENT OF MENTAL HEALTH",
            "identifier": "02172",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19B7",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19RI",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho San Antonio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RSA Bro Johns House STRTP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.