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WEST COVINA FOSTER FAMILY AGENCY NPI 1609414739


NPI Information

NPI: 1609414739
Provider Name: WEST COVINA FOSTER FAMILY AGENCY

Doing Business As: SUNRISE HORIZON

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1568 MCLEOD PL
POMONA, CA
ZIP 91768
Phone: (909) 620-7543
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WEST COVINA FOSTER FAMILY AGENCY is a residential treatment facility emotionally disturbed children in Pomona, 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. WEST COVINA FOSTER FAMILY AGENCY NPI is 1609414739. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sunrise Horizon.

The provider's business location address is:

1568 MCLEOD PL
POMONA, CA
ZIP 91768-348
Phone: (909) 620-7543
Fax: (909) 865-3325

The provider's authorized official is Sukhwinder Kaur Singh .
The authorized official title is Executive Director and has the following contact phone number (626) 814-9085.

The enumeration date for this NPI number is 12/19/2019 and was last updated on 9/22/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2103TC0700XPsychologistClinicalNo
3103TP2701XPsychologistGroup PsychotherapyNo
4163WP0807XRegistered NursePsychiatric/Mental Health, Child & AdolescentNo
5171M00000XCase Manager/Care CoordinatorNo
6322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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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