LEROY HAYNES CENTER NPI 1467713743

NPI Information

NPI: 1467713743
Provider Name: LEROY HAYNES CENTER
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
233 BASELINE RD
LA VERNE, CA
ZIP 91750
Phone: (909) 593-2581
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LEROY HAYNES CENTER is a residential treatment facility emotionally disturbed children in La Verne, CA. The provider is 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. LEROY HAYNES CENTER NPI is 1467713743. The provider is registered as an organization entity type.

The provider's business location address is:

233 BASELINE RD
LA VERNE, CA
ZIP 91750-353
Phone: (909) 593-2581
Fax: (909) 596-3567

The provider's authorized official is Jennifer Mosson .
The authorized official title is Licensed Psychiatric Technician and has the following contact phone number (909) 592-3281.

The enumeration date for this NPI number is 6/4/2012 and was last updated on 6/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		PT 34218	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7565A	OTHER	CALIFORNIA	OUTPATIENT MENTAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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