Choice Respicare, Inc.

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

CHOICE RESPICARE, INC.

Doing business as

Villa Balboa

Practice address

16714 Parthenia St
Northridge, CA 91343-4609

Phone

(818) 891-2273

Fax

(323) 654-2104

NPI assigned

Sep 24, 2014

Last updated

Sep 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tatyana Dekadokh

Title

Cfo

Phone

(818) 891-2273

Specialties & licenses 1

Addresses

Other names 1

• Villa Balboa Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1750783460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16714 PARTHENIA ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434609",
            "telephone_number": "818-891-2273",
            "fax_number": "323-654-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16714 PARTHENIA ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434609",
            "telephone_number": "818-891-2273",
            "fax_number": "323-654-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE RESPICARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "DEKADOKH",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-891-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Balboa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Cho
• Susie J Cho, MD
• Bung Joo Choi, PA
• Hee Jong L Choi, L.AC
• Thuy-Vy Catherine Cao Choi, MD
• Dionisia E Chora Acosta
• Paula Chou, M.D.
• Christopher G Chow, MD
• Adrine Linda Chrakian, PHARMD
• Kathy Chriqui, OD

• Physical Disabilities Residential Treatment Facility in Northridge, CA
• Providers in Northridge, CA by specialty
• Physical Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.