NPIMap

Organization Active NPI

Aaron's Boys Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Atascadero, CA
National Provider Identifier
1336753433
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
AARON'S BOYS HOME
Practice address
5805 Capistrano Ave Ste E
Atascadero, CA 93422-7218
Phone
(805) 466-2580
NPI assigned
Sep 4, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Jennifer Smith, LCSWNPI 1760093868
Title
Executive Director/ Head of Service
Phone
(805) 466-2580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

5805 Capistrano Ave Ste E
Atascadero, CA 93422-7218

Mailing address

PO Box 1071
Atascadero, CA 93423-1071
Phone (805) 466-2580

National Provider Directory

National Provider Directory
Tax ID family
Aaron's Boys Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5805 Capistrano Ave
Ste E
Atascadero, CA 93422
Phone (805) 466-2580

Practitioners & affiliated clinicians

Practitioners 3

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": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1336753433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934231071",
            "telephone_number": "805-466-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 CAPISTRANO AVE STE E",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227218",
            "telephone_number": "805-466-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON'S BOYS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ HEAD OF SERVICE",
        "authorized_official_telephone_number": "805-466-2580",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.