SAN FERNANDO MISSION GROUP HOME – NPI #1295282739
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

SAN FERNANDO MISSION GROUP HOME is a residential treatment facility located in GRANADA HILLS, CA. NPPES has assigned the NPI number 1295282739 to SAN FERNANDO MISSION GROUP HOME on September 01, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

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 SAN FERNANDO MISSION GROUP HOME below.

NPI Profile for
SAN FERNANDO MISSION GROUP HOME

NPI Number
1295282739
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
SAN FERNANDO MISSION GROUP HOME
Primary location
17157 SAN FERNANDO MISSION BLVD.
GRANADA HILLS, CA 91344
Phone: (818) 488-9046 Fax: (818) 488-9046
Mailing address
22455 VICTORY BLVD
WEST HILLS, CA 91307
Phone: (818) 592-2960 Fax: (818) 592-2961
Organization Subpart
Yes - SAN FERNANDO MISSION GROUP HOME is subpart of another organization.
Authorized Official
JORGE MARQUEZ
EXECUTIVE DIRECTOR
Phone: (818) 592-2960
Updated
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
CA 198208017

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.