BOYS REPUBLIC – NPI #1457700411
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

BOYS REPUBLIC is a community based residential treatment facility located in CHINO HILLS, CA. NPPES has assigned the NPI number 1457700411 to BOYS REPUBLIC on June 09, 2016. 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.

The NPI profile was previously updated about 4 years ago on Nov 30, 2022. 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 BOYS REPUBLIC below.

NPI Profile for
BOYS REPUBLIC

NPI Number
1457700411
Enumeration Date

(about 10 years 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
BOYS REPUBLIC
Primary location
1907 BOYS REPUBLIC DR
CHINO HILLS, CA 91709
Phone: (909) 628-1217 Fax: (909) 306-5427
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FEDERICO ESCOBEDO JARQUE
CLINICAL DIRECTOR
Phone: (909) 628-1217
Updated
Certification Date
Nov 30, 2022

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)
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.