Keswick Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

KESWICK HOME

Practice address

19133 Ingomar St
Reseda, CA 91335-1720

Phone

(818) 360-3317

Fax

(818) 357-2437

NPI assigned

Aug 12, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Simreth Gill

Title

Board Member

Phone

(626) 523-2422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1275966459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19133 INGOMAR ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351720",
            "telephone_number": "818-360-3317",
            "fax_number": "818-357-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19133 INGOMAR ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351720",
            "telephone_number": "818-360-3317",
            "fax_number": "818-357-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESWICK HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "SIMRETH",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "626-523-2422",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual Disabilities Intermediate Care Facility in Reseda, CA
• Providers in Reseda, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.