NPIMap

Organization Active NPI

Reseda Ranch

  • Intellectual Disabilities Intermediate Care Facility
  • Reseda, CA
National Provider Identifier
1295393684
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
RESEDA RANCH
Practice address
19013 Arminta St
Reseda, CA 91335-1104
Phone
(818) 894-9301
Fax
(818) 894-8841
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Tetyana Wynter
Title
Director of Residential Services
Phone
(818) 894-9301

Specialties & licenses 1

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

Addresses

Primary practice location

19013 Arminta St
Reseda, CA 91335-1104

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295393684. Details of each certification follow.

  • CCN 55G823 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G823

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RESEDA RANCH
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 17, 2025
Last certification
May 22, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
19013 Arminta St
Reseda, CA 91335

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1295393684",
    "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": "19013 ARMINTA ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351104",
            "telephone_number": "818-894-9301",
            "fax_number": "818-894-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESEDA RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "WYNTER",
        "authorized_official_first_name": "TETYANA",
        "authorized_official_title_or_position": "DIRECTOR OF RESIDENTIAL SERVICES",
        "authorized_official_telephone_number": "818-894-9301"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.