NPIMap

Organization Active NPI

Valley Village

  • Intellectual Disabilities Intermediate Care Facility
  • West Hills, CA
National Provider Identifier
1477604155
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
LTC60228F Issued in CA
Legal business name
VALLEY VILLAGE
Practice address
22439 Marlin PL
West Hills, CA 91307-2622
Phone
(818) 587-9450
Fax
(818) 587-9184
NPI assigned
Jan 16, 2007
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
Joanne Tschantre
Title
Accounts Receivable Manager
Phone
(818) 587-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X LTC60228F CA Primary

Addresses

Primary practice location

22439 Marlin PL
West Hills, CA 91307-2622

Mailing address

20830 Sherman Way
Winnetka, CA 91306-2707
Phone (818) 587-9450

Other names 1

  • Marlin House Other name

Medicare participation

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

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G273

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
VALLEY VILLAGE MARLIN HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 26, 1987
Last certification
Nov 26, 2025
Beds
6
Ownership / control type
Private (non-profit)
Most recent change of ownership
Apr 30, 2008
Facility address
22439 Marlin Avenue
West Hills, CA 91307

National Provider Directory

National Provider Directory
Tax ID family
Valley Village Adhc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477604155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20830 SHERMAN WAY",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062707",
            "telephone_number": "818-587-9450",
            "fax_number": "818-587-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22439 MARLIN PL",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072622",
            "telephone_number": "818-587-9450",
            "fax_number": "818-587-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TSCHANTRE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "818-587-9450"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "LTC60228F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marlin House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.