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SGCC-HOMEREST HOME-AC
NPI 1366994279
Residential Treatment Facility, Emotionally Disturbed Children in Azusa, CA

Active since October 26, 2016
5329 N HOMEREST AVE, AZUSA, CA 91702(626) 859-2089(626) 859-6537 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2022, Apr 25, 2022, Oct 27, 2016 (3 updates tracked since 2016).

About Sgcc-homerest Home-ac NPPES

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

SGCC-HOMEREST HOME-AC (NPI 1366994279) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Azusa, California and active in the NPI registry since October 2016. The organization lists Porfirio Rincon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366994279
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSAN GABRIEL CHILDREN'S CENTER, INC.
Location Address5329 N HOMEREST AVEAzusa, CA 91702-5429
Mailing Address1211 Center Court Dr Ste 105Covina, CA 91724-3613 · (626) 859-2089 · Fax (626) 859-6537
Phone(626) 859-2089
Fax(626) 859-6537
Organization SubpartNo
Authorized OfficialPorfirio RinconCeo · (626) 859-2089
Enumeration DateOctober 26, 2016
Last NPPES UpdateDecember 15, 20223 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1366994279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
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.
5329 N HOMEREST AVE, Azusa, CA 91702
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Other Names 1

Other NameSgcc-homerest Home-ac

Other Identifiers 1

Medicaid0000056BJCA

Other Providers at the Same Location NPPES

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

SAN GABRIEL CHILDRENS CENTER INC.
Residential Treatment Facility, Emotionally Disturbed Children
5329 N HOMEREST AVE
AZUSA, CA 91702
Los Angeles County (626) 859-2089

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 San Gabriel Children's Center, Inc.'s NPI number?

The NPI number for San Gabriel Children's Center, Inc. is 1366994279. It was assigned to this organization in the NPPES registry on October 26, 2016. The provider is also known as Sgcc-Homerest Home-Ac.

Where is San Gabriel Children's Center, Inc. located?

San Gabriel Children's Center, Inc. is located at 5329 N Homerest Ave, Azusa, CA 91702. The listed phone number is (626) 859-2089.

What is San Gabriel Children's Center, 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 San Gabriel Children's Center, Inc. was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.