West Covina Foster Family Agency

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

WEST COVINA FOSTER FAMILY AGENCY

Practice address

1568 McLeod PL
Pomona, CA 91768-1348

Phone

(909) 620-7543

Fax

(909) 865-3325

NPI assigned

Dec 19, 2019

Organization subpart

No

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

Authorized official

Name

Sukhwinder Kaur Singh, RN

Title

Executive Director

Phone

(626) 814-9085

Specialties & licenses 6

Addresses

Other names 2

• Sunrise Horizon Doing business as
• Casa Esperanza STRTP Pomona Other name

Tax ID family

Casa Esperanza Strtp Pomona2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• West Covina Foster Family Agency

  • Clinical Social Worker
  • Covina, CA
  • NPI 1386779064
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shantell Harris, PSYD

  • Psychologist
  • Pomona, CA
  • NPI 1043803232
  NPD
• Sophie Solow

  • Student in an Organized Health Care Education/Training Program
  • Pomona, CA
  • NPI 1396344479
  NPD
• Cynthia D Williams, LVN

  • Licensed Vocational Nurse
  • Pomona, CA
  • NPI 1578148672
  NPD

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1609414739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 E ROWLAND ST STE 100C&D",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233266",
            "telephone_number": "626-814-9085",
            "fax_number": "626-814-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 MCLEOD PL",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681348",
            "telephone_number": "909-620-7543",
            "fax_number": "909-865-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COVINA FOSTER FAMILY AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "SUKHWINDER",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-814-9085",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Horizon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Casa Esperanza STRTP Pomona",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Wells
• Heather Morgan Weltzien
• Jacqueline Wen
• Lee Wentworth
• Mitchell Werner
• Katelyn West
• Westbridge Diagnostic LLC
• Tameia Nicole Westby
• Western University of Health Sciences
• Western University of Health Sciences

• Emotionally Disturbed Childrens' Residential Treatment Facility in Pomona, CA
• Providers in Pomona, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.