Provider Demographics
NPI:1346543964
Name:CHILDS HOMES FOR CHILDERN
Entity Type:Organization
Organization Name:CHILDS HOMES FOR CHILDERN
Other - Org Name:CONNECTING MENTAL HEALTH & OUTREACH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RUFUS
Authorized Official - Middle Name:PRINCE
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-765-5900
Mailing Address - Street 1:7054 VANSCOY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-5357
Mailing Address - Country:US
Mailing Address - Phone:818-765-5900
Mailing Address - Fax:818-759-6072
Practice Address - Street 1:7054 VANSCOY AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-5357
Practice Address - Country:US
Practice Address - Phone:818-765-5900
Practice Address - Fax:818-759-6072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 251300000X, 273Y00000X, 322D00000X, 332BN1400X
CA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No273Y00000XHospital UnitsRehabilitation Unit
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesGroup - Multi-Specialty