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CHOICE RESPICARE INC. NPI 1750783460


NPI Information

NPI: 1750783460
Provider Name: CHOICE RESPICARE, INC.

Doing Business As: VILLA BALBOA

Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization

CLIA Number: 05D2093644

Address:
16714 PARTHENIA ST
NORTHRIDGE, CA
ZIP 91343
Phone: (818) 891-2273
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CHOICE RESPICARE, INC. is a residential treatment facility physical disabilities in Northridge, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. CHOICE RESPICARE, INC. NPI is 1750783460. The provider is registered as an organization entity type.
The provider Is Doing Business As Villa Balboa.

The provider's business location address is:

16714 PARTHENIA ST
NORTHRIDGE, CA
ZIP 91343-609
Phone: (818) 891-2273
Fax: (323) 654-2104

The provider's authorized official is Tatyana Dekadokh .
The authorized official title is Cfo and has the following contact phone number (818) 891-2273.

The CLIA number assigned to this NPI record is 05D2093644 - other - congregate living health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2014 and was last updated on 9/24/2014.


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
1320700000XResidential Treatment Facility, Physical DisabilitiesYes

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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