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LEROY HAYNES CENTER
NPI 1164548236
Community Based Residential Treatment Facility, Mental Illness in La Verne, CA

Active since March 21, 2007
1350 3RD ST, LA VERNE, CA 91750(909) 593-2581(909) 596-3567 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2021, Oct 6, 2020, May 21, 2020 and 5 more (8 updates tracked since 2016).

About Leroy Haynes Center NPPES

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

LEROY HAYNES CENTER (NPI 1164548236) is a healthcare organization registered as a community based residential treatment facility, mental illness in La Verne, California and active in the NPI registry since March 2007. The organization maintains a secondary practice location in La Verne and lists Daniel S. Maydeck, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1164548236
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameHAYNES FAMILY OF PROGRAMS
Location Address1350 3RD STLa Verne, CA 91750-5201
Mailing Address1350 3rd StLa Verne, CA 91750-5201 · (909) 593-2581 · Fax (909) 596-3567
Phone(909) 593-2581
Fax(909) 596-3567
Organization SubpartNo
Authorized OfficialDaniel S. MaydeckChief Executive Officer · (909) 593-2581
Enumeration DateMarch 21, 2007
Last NPPES UpdateApril 12, 20218 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1164548236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in CA · 191501972
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedBehavior AnalystTaxonomy 103K00000X
1350 3RD ST, La Verne, CA 91750
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Other Names 1

Other NameLeroy Haynes Center

Secondary Practice Location 1

Location 11025 Sentinel Dr Ste 200 & 206LA Verne, CA 91750-3282 · Phone (909) 833-2986 · Fax (909) 614-7466

Other Identifiers 1

Other7565ACA · Outpatient Mental Health

Other Providers at the Same Location NPPES 20

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

VANESSA JIMENEZ BACHELORS
Counselor (Mental Health)
1350 3RD ST
LA VERNE, CA 91750
Los Angeles County (909) 596-5921
SOPHIA-DIAHN NCHELEM NWANODI ASW
Social Worker
1350 3RD ST
LA VERNE, CA 91750
Los Angeles County (909) 596-5921
ISRAEL RALEIGH RENTERIA
Peer Specialist
1350 3RD ST
LA VERNE, CA 91750
Los Angeles County (909) 593-2581
GERARDO BECERRA LOERA
Rehabilitation Practitioner
1350 3RD ST
LA VERNE, CA 91750
Los Angeles County (909) 593-2581
MS. BEVERLY ANN FEATHERSTON KCSW
Social Worker (Clinical)
1350 3RD ST
LA VERNE, CA 91750
Los Angeles County (909) 596-5921
MS. ELIZABETH DIANA TOWERS MSW
Social Worker
1350 3RD ST
LA VERNE, CA 91750
Los Angeles County (909) 596-5921
HOPE ALVIZAR
Marriage & Family Therapist
1350 3RD ST
LA VERNE, CA 91750
Los Angeles County (909) 596-5921
MARLENE J SCHOENHOFEN
Social Worker
1350 3RD ST
LA VERNE, CA 91750
Los Angeles County (909) 593-2581

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 Haynes Family Of Programs's NPI number?

The NPI number for Haynes Family Of Programs is 1164548236. It was assigned to this organization in the NPPES registry on March 21, 2007. The provider is also known as Leroy Haynes Center.

Where is Haynes Family Of Programs located?

Haynes Family Of Programs is located at 1350 3rd St, La Verne, CA 91750. The listed phone number is (909) 593-2581.

What is Haynes Family Of Programs'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 Haynes Family Of Programs was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.