NPIMap

Organization Active NPI

Therapeutic Living Centers for the Blind, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Northridge, CA
National Provider Identifier
1366651101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
THERAPEUTIC LIVING CENTERS FOR THE BLIND, INC.
Practice address
9530 Donna Ave
Northridge, CA 91324-1815
Phone
(818) 708-1740
Fax
(818) 708-7899
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ford Neale
Title
Executive Director
Phone
(818) 708-1740

Specialties & licenses 1

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

Addresses

Primary practice location

9530 Donna Ave
Northridge, CA 91324-1815

Mailing address

7915 Lindley Ave
Reseda, CA 91335-2122
Phone (818) 708-1740

Other identifiers 2

IdentifierTypeStateIssuer
05G090MedicaidCA
LTC60791FMedicaidCA

Other names 1

  • TLC Donna House Other name

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 1366651101. Details of each certification follow.

  • CCN 55G090 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G090

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
TLC - DONNA HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 2, 1997
Last certification
Mar 6, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
9530 Donna Ave
Northridge, CA 91324

National Provider Directory

National Provider Directory
Tax ID family
Therapeutic Living Centers for the Blind Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366651101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 LINDLEY AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352122",
            "telephone_number": "818-708-1740",
            "fax_number": "818-708-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 DONNA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241815",
            "telephone_number": "818-708-1740",
            "fax_number": "818-708-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC LIVING CENTERS FOR THE BLIND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEALE",
        "authorized_official_first_name": "FORD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-708-1740"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05G090",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60791F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Donna House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.