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HAYNES FAMILY OF PROGRAMS NPI 1669905832


NPI Information

NPI: 1669905832
Provider Name: HAYNES FAMILY OF PROGRAMS

Other Name: HAYNES FP STRTP

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
233 WEST BASELINE ROAD
LA VERNE, CA
ZIP 91750
Phone: (909) 593-2581
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HAYNES FAMILY OF PROGRAMS 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. HAYNES FAMILY OF PROGRAMS NPI is 1669905832. The provider is registered as an organization entity type.
The provider Other Name Is Haynes Fp Strtp.

The provider's business location address is:

233 WEST BASELINE ROAD
LA VERNE, CA
ZIP 91750-353
Phone: (909) 593-2581
Fax: (909) 833-2998

The provider's authorized official is Cassandra Jones .
The authorized official title is Strtp Assistant Director and has the following contact phone number (909) 593-2581.

The enumeration date for this NPI number is 4/5/2017 and was last updated on 1/28/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10175.00.02OTHERCALIFORNIAFACILITY LICENSE

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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