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EGGLESTON BHS - WACO I
NPI 1063697563
Residential Treatment Facility, Emotionally Disturbed Children in Baldwin Park, CA

Active since January 02, 2008
13135 WACO ST, BALDWIN PARK, CA 91706(626) 480-8107(626) 869-0280 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2017, Jan 25, 2017 (2 updates tracked since 2017).

About Eggleston Bhs - Waco I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EGGLESTON BHS - WACO I (NPI 1063697563) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Baldwin Park, California and active in the NPI registry since January 2008. The organization lists Cassandra Elaine Gibson-judkins, Assistant Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063697563
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameEGGLESTON YOUTH CENTERS, INC.
Location Address13135 WACO STBaldwin Park, CA 91706-4727
Mailing Address13001 Ramona Blvd, Ste. EIrwindale, CA 91706-3752 · (626) 480-8107 · Fax (626) 869-0280
Phone(626) 480-8107
Fax(626) 869-0280
Organization SubpartYes
Authorized OfficialCassandra Elaine Gibson-judkinsAssistant Executive Director · (626) 480-8107
Enumeration DateJanuary 2, 2008
Last NPPES UpdateFebruary 1, 20182 updates tracked since enumeration
✔ NPI 1063697563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in CA · 191500940
Definition
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.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
13135 WACO ST, Baldwin Park, CA 91706
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Other Names 1

Other NameEggleston Bhs - Waco I

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eggleston Youth Centers, Inc.'s NPI number?

The NPI number for Eggleston Youth Centers, Inc. is 1063697563. It was assigned to this organization in the NPPES registry on January 2, 2008. The provider is also known as Eggleston Bhs - Waco I.

Where is Eggleston Youth Centers, Inc. located?

Eggleston Youth Centers, Inc. is located at 13135 Waco St, Baldwin Park, CA 91706. The listed phone number is (626) 480-8107.

What is Eggleston Youth Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Eggleston Youth Centers, Inc. was last updated on February 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.