SHOURIDGE GROUP HOME – NPI #1649721473
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.

SHOURIDGE GROUP HOME is a residential treatment facility located in WEST HILLS, CA. NPPES has assigned the NPI number 1649721473 to SHOURIDGE GROUP HOME on October 17, 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 SHOURIDGE GROUP HOME below.

NPI Profile for
SHOURIDGE GROUP HOME

NPI Number
1649721473
Enumeration Date

(more than 9 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
SHOURIDGE GROUP HOME
Primary location
6705 SHOUP AVENUE
WEST HILLS, CA 91307
Phone: (747) 230-5928 Fax: (747) 230-5928
Mailing address
22455 VICTORY BLVD
WEST HILLS, CA 91307
Phone: (818) 592-2960 Fax: (818) 592-2961
Organization Subpart
Yes - SHOURIDGE 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 198209146

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.