Reseda Horizons

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

9600001456 Issued in CA

Legal business name

RESEDA HORIZONS

Practice address

17831 San Jose St
Granada Hills, CA 91344-5925

Phone

(818) 894-9301

Fax

(818) 894-8841

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Roschell Ashley

Title

Residential Administrator

Phone

(818) 894-9301

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G526

Legal name

RESEDA HORIZONS - SAN JOSE

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Oct 13, 2005

Last certification

Nov 7, 2025

Beds

6

Ownership / control type

Private (non-profit)

Facility address

17831 San Jose Street
Granada Hills, CA 91344

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629296272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 PARTHENIA ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434913",
            "telephone_number": "818-894-9301",
            "fax_number": "818-894-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17831 SAN JOSE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445925",
            "telephone_number": "818-894-9301",
            "fax_number": "818-894-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESEDA HORIZONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "ROSCHELL",
        "authorized_official_title_or_position": "RESIDENTIAL ADMINISTRATOR",
        "authorized_official_telephone_number": "818-894-9301"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "9600001456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC61056F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual Disabilities Intermediate Care Facility in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.