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BAILARD HOUSE LLC NPI 1831559293


NPI Information

NPI: 1831559293
Provider Name: BAILARD HOUSE, LLC
Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization

CLIA Number: 05D2124809

Address:
31275 BAILARD RD
MALIBU, CA
ZIP 90265
Phone: (323) 880-2110
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BAILARD HOUSE, LLC is a psychiatric residential treatment facility in Malibu, CA. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary BAILARD HOUSE, LLC NPI is 1831559293. The provider is registered as an organization entity type.

The provider's business location address is:

31275 BAILARD RD
MALIBU, CA
ZIP 90265-605
Phone: (323) 880-2110
Fax: (310) 919-0372

The provider's authorized official is Terry Schoser .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (323) 364-6489.

The CLIA number assigned to this NPI record is 05D2124809 - other - substaance abuse facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/29/2016 and was last updated on 11/15/2021.


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
1324500000XSubstance Abuse Rehabilitation FacilityNo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
3323P00000XPsychiatric Residential Treatment FacilityYes

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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