SHOUP GROUP HOME – NPI #1881141406
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.

SHOUP GROUP HOME is a residential treatment facility located in WOODLAND HILLS, CA. NPPES has assigned the NPI number 1881141406 to SHOUP 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 SHOUP GROUP HOME below.

NPI Profile for
SHOUP GROUP HOME

NPI Number
1881141406
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
SHOUP GROUP HOME
Primary location
6450 SHOUP AVENUE
WOODLAND HILLS, CA 91307
Phone: (818) 347-3839 Fax: (818) 347-3839
Mailing address
22455 VICTORY BLVD
WEST HILLS, CA 91307
Phone: (818) 592-2960 Fax: (818) 592-2961
Organization Subpart
Yes - SHOUP GROUP HOME is subpart of another organization.
Authorized Official
JORGE MARQUEZ
EXECUTIVE DIRECTOR
Phone: (818) 592-2960
Updated
Identifiers

Identifiers for SHOUP GROUP HOME

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEPARTMENT OF SOCIAL SERVICESCA197601995
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 197601995

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.