BOURNE INC NPI 1962930982

NPI Information

  • NPI: 1962930982
  • Provider Name: BOURNE INC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 1280 N HILL AVE
    PASADENA, CA
    ZIP 91104
  • Phone: (626) 797-9190

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NPI Details

BOURNE INC is a residential treatment facility emotionally disturbed children in Pasadena, 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. BOURNE INC NPI is 1962930982. The provider is registered as an organization entity type.

The provider's business location address is:

1280 N HILL AVE
PASADENA, CA
ZIP 91104-050
Phone: (626) 797-9190

The provider's authorized official is Tierra Monique Patterson .
The authorized official title is Director Of Clinical Services and has the following contact phone number (909) 587-7444.

The enumeration date for this NPI number is 6/3/2017 and was last updated on 7/8/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential 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: 11/21/2025

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