NPIMap

Organization Active NPI

Valley Village

  • Intellectual Disabilities Intermediate Care Facility
  • Sylmar, CA
National Provider Identifier
1851442610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
LTC60715F Issued in CA
Legal business name
VALLEY VILLAGE
Practice address
12769 Gladstone Ave
Sylmar, CA 91342-4839
Phone
(818) 587-9450
Fax
(818) 587-9184
NPI assigned
Jan 16, 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
Accounts Receivable Manager
Phone
(818) 587-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X LTC60715F CA Primary

Addresses

Primary practice location

12769 Gladstone Ave
Sylmar, CA 91342-4839

Mailing address

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

Other names 1

  • Gladstone 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 05G962

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 GLADSTONE HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 15, 1996
Last certification
Dec 12, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
12769 Gladstone Avenue
Sylmar, CA 91342

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851442610",
    "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": "12769 GLADSTONE AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424839",
            "telephone_number": "818-587-9450",
            "fax_number": "818-587-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TSCHANTRE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ACCOUNTS 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": "LTC60715F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladstone House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.