Tycoon Residential Board and Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TYCOON RESIDENTIAL BOARD AND CARE

Practice address

10204 Gerald Ave
North Hills, CA 91343-1132

Phone

(818) 363-3418

Fax

(818) 363-3418

NPI assigned

Jun 9, 2023

Organization subpart

No

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

Authorized official

Name

Yolanda P Villanueva

Title

Administrator/Licensee

Phone

(121) 321-9135

Specialties & licenses 1

Addresses

Other names 1

• tycoon residential board and care Doing business as

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1669156709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 GERALD AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913431132",
            "telephone_number": "818-363-3418",
            "fax_number": "818-363-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10204 GERALD AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913431132",
            "telephone_number": "818-363-3418",
            "fax_number": "818-363-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYCOON RESIDENTIAL BOARD AND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR/LICENSEE",
        "authorized_official_telephone_number": "121-321-9135"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "tycoon residential board and care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Trost
• Stella Tsang Li
• Kristie N Tu, PHARM.D.
• Ashley Tuang
• Joe Scott Tushnet
• Chidimma Winifred Ukeje, APCC
• Gillian Ulrich, PHD
• Selena Shea Underhill-Berk
• United Care Home Healthcare Agency, Inc.
• Elisa Ubben Urbano

• Assisted Living Facility in North Hills, CA
• Providers in North Hills, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.