ROSECRANS VILLA INC NPI 1750592127

NPI Information

NPI: 1750592127
Provider Name: ROSECRANS VILLA INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
14110 CORDARY AVE
HAWTHORNE, CA
ZIP 90250
Phone: (310) 675-9163
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ROSECRANS VILLA INC is a community based residential treatment facility mental illness in Hawthorne, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ROSECRANS VILLA INC NPI is 1750592127. The provider is registered as an organization entity type.

The provider's business location address is:

14110 CORDARY AVE
HAWTHORNE, CA
ZIP 90250-005
Phone: (310) 675-9163
Fax: (310) 676-4388

The provider's authorized official is Tricia Marie Pedroza .
The authorized official title is Owner President and has the following contact phone number (310) 675-9163.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 8/22/2020.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness			CALIFORNIA	Yes

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

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