The Village Family Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

197805014 Issued in CA

Legal business name

THE VILLAGE FAMILY SERVICES, INC.

Practice address

6728 Seville Ave
Huntington Park, CA 90255-4804

Phone

(323) 277-4752

Fax

(323) 277-4761

NPI assigned

Jan 25, 2013

Organization subpart

Yes

Parent organization

THE VILLAGE FAMILY SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Heather Bowen

Title

Sr. Director Compliance & Risk MGMT

Phone

(818) 755-8786

Specialties & licenses 1

Addresses

Other names 1

• The Village Family Services Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Village Family Services, Inc.

  • Community/Behavioral Health Agency
  • North Hollywood, CA
  • NPI 1083749725

  O20160725001451

  Same enrollment
• The Village Family Services, Inc.

  • Community/Behavioral Health Agency
  • North Hollywood, CA
  • NPI 1194063958

  O20160725001451

  Same enrollment

Part of

The Village Family Services Inc

Locations

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1578801510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6736 LAUREL CANYON BLVD STE 200",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061576",
            "telephone_number": "818-755-8786",
            "fax_number": "323-277-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6728 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554804",
            "telephone_number": "323-277-4752",
            "fax_number": "323-277-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE FAMILY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE VILLAGE FAMILY SERVICES, INC.",
        "enumeration_date": "2013-01-25",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "SR. DIRECTOR COMPLIANCE & RISK MGMT",
        "authorized_official_telephone_number": "818-755-8786"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "197805014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village Family Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Huntington Park, CA
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.