EMBOLDEN YOUTH SERVICES – NPI #1154259547
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

EMBOLDEN YOUTH SERVICES is a community based residential treatment facility located in LOS ANGELES, CA. NPPES recently assigned the NPI number 1154259547 to EMBOLDEN YOUTH SERVICES on May 13, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EMBOLDEN YOUTH SERVICES below.

NPI Profile for
EMBOLDEN YOUTH SERVICES

NPI Number
1154259547
Enumeration Date

(about 3 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EMBOLDEN YOUTH SERVICES
Primary location
643 W 95TH ST
LOS ANGELES, CA 90044-5615
Phone: (323) 305-3209 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KENDRA BOLDEN
EXECUTIVE DIRECTOR
Phone: (562) 225-4442
Updated
Certification Date
May 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center)
251S00000X
- Community/Behavioral Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.