NPIMap

Organization Active NPI

Valley Village

  • Intellectual Disabilities Intermediate Care Facility
  • North Hills, CA
National Provider Identifier
1609927136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
LTC60395F Issued in CA
Legal business name
VALLEY VILLAGE
Practice address
9258 Hayvenhurst Ave
North Hills, CA 91343-3607
Phone
(818) 587-9450
Fax
(818) 587-9184
NPI assigned
Jan 12, 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
Ms. Joanne Tschantre
Title
Account'S Receivable Manager
Phone
(818) 587-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X LTC60395F CA Primary

Addresses

Primary practice location

9258 Hayvenhurst Ave
North Hills, CA 91343-3607

Mailing address

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

Other names 1

  • Hayvenhurst 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 55G193

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 HAYVENHURST HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 16, 1998
Last certification
May 14, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
9258 Hayvenhurst Avenue
North Hills, CA 91343

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609927136",
    "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": "9258 HAYVENHURST AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433607",
            "telephone_number": "818-587-9450",
            "fax_number": "818-587-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TSCHANTRE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ACCOUNT'S RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "818-587-9450",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "LTC60395F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayvenhurst House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Hills, CA

Sources for this page

Verify at the official NPI Registry.