EGGLESTON YOUTH CENTERS, INC.
NPI 1801364047
Residential Treatment Facility, Emotionally Disturbed Children in Pomona, CA

NPI Status: Active since November 06, 2018

Contact Information

790 E LA VERNE AVE
POMONA, CA
ZIP 91767
Phone: (626) 480-8107
Fax: (626) 869-0280

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About EGGLESTON YOUTH CENTERS, INC.

This page provides the complete NPI Profile along with additional information for Eggleston Youth Centers, Inc., a provider established in Pomona, California operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1801364047 assigned on November 2018. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ms. Cassandra Elaine Gibson-judkins Lcsw (Assistant Executive Director)

NPI
1801364047
Provider Name
EGGLESTON YOUTH CENTERS, INC.
Entity Type
Organization
Location Address
790 E LA VERNE AVE POMONA, CA 91767
Location Phone
(626) 480-8107
Location Fax
(626) 869-0280
Mailing Address
13001 RAMONA BLVD STE E IRWINDALE, CA 91706
Mailing Phone
(626) 480-8107
Mailing Fax
(626) 869-0280
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2018
Last Update Date
11-06-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CASSANDRA ELAINE GIBSON-JUDKINS LCSW

Authorized Official Title
ASSISTANT EXECUTIVE DIRECTOR
Authorized Official Phone
(626) 480-8107

Reviews for EGGLESTON YOUTH CENTERS, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801364047
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
280166808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 6 + 6 + 8 + 0 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1801364047 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467920769EGGLESTON YOUTH CENTERS, INC.
Organization
Residential Treatment Facility, Emotionally Disturbed Children790 E LA VERNE AVE
POMONA, CA 91767
(626) 480-8107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801364047, enumerated in the NPI registry as an "organization" on November 06, 2018

The provider is located at 790 E La Verne Ave Pomona, Ca 91767 and the phone number is (626) 480-8107

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X

This NPI record was last updated on November 06, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.