EMBOLDEN YOUTH SERVICES
NPI 1154259547
Community Based Residential Treatment Facility, Mental Illness in Los Angeles, CA

Active since May 13, 2026
643 W 95TH ST, LOS ANGELES, CA 90044(323) 305-3209 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Embolden Youth Services NPPES

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

EMBOLDEN YOUTH SERVICES (NPI 1154259547) is a healthcare organization registered as a community based residential treatment facility, mental illness in Los Angeles, California and active in the NPI registry since May 2026. The organization lists Kendra Bolden, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154259547
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameEMBOLDEN YOUTH SERVICES
Location Address643 W 95TH STLos Angeles, CA 90044-5615
Mailing Address643 W 95th StLos Angeles, CA 90044-5615 · (323) 305-3209
Organization SubpartNo
Authorized OfficialKendra BoldenExecutive Director · (562) 225-4442
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1154259547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
643 W 95TH ST, Los Angeles, CA 90044

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
643 W 95TH ST
LOS ANGELES, CA 90044

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 Embolden Youth Services's NPI number?

The NPI number for Embolden Youth Services is 1154259547. It was assigned to this organization in the NPPES registry on May 13, 2026.

Where is Embolden Youth Services located?

Embolden Youth Services is located at 643 W 95th St, Los Angeles, CA 90044. The listed phone number is (323) 305-3209.

What is Embolden Youth Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Embolden Youth Services was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.