Headway House Inc.

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

HEADWAY HOUSE INC.

Practice address

8500 Shirley Ave
Northridge, CA 91324-4149

Phone

(310) 849-7966

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Nicolette Taylor

Title

Administrator

Phone

(310) 849-7966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719705600000",
    "number": "1518709302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 SHIRLEY AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 SHIRLEY AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244149",
            "telephone_number": "310-849-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWAY HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-849-7966"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Northridge, CA
• Providers in Northridge, CA by specialty
• Assisted Living Facility (Behavioral Disturbances) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; 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.