Organization Active NPI

DP Care, Inc.

Doing business as Casa Valle

  • Physical Disabilities Residential Treatment Facility
  • Sun Valley, CA
National Provider Identifier
1346632189
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
DP CARE, INC.
Doing business as
Casa Valle
Practice address
11321 Stagg St
Sun Valley, CA 91352-4469
Phone
(818) 765-2273
Fax
(323) 654-2104
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Mr. Mikhail Patyuk
Title
Ceo
Phone
(818) 765-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

11321 Stagg St
Sun Valley, CA 91352-4469

Mailing address

11321 Stagg St
Sun Valley, CA 91352-4469
Phone (818) 765-2273

Other names 1

  • Casa Valle Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2095973Casa Valle11321 Stagg St, Sun Valley, CA 91352Certificate of waiverMay 12, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1346632189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 STAGG ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913524469",
            "telephone_number": "818-765-2273",
            "fax_number": "323-654-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11321 STAGG ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913524469",
            "telephone_number": "818-765-2273",
            "fax_number": "323-654-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DP CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "PATYUK",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-765-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Valle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.