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SGCC-ENID HOME
NPI 1568910818
Residential Treatment Facility, Emotionally Disturbed Children in Azusa, CA

Active since September 15, 2016
337 S ENID AVE, AZUSA, CA 91702(626) 859-2089(626) 859-6537 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 1, 2024, Dec 15, 2022, Apr 25, 2022 and 1 more (4 updates tracked since 2016).

About Sgcc-enid Home NPPES

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

SGCC-ENID HOME (NPI 1568910818) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Azusa, California and active in the NPI registry since September 2016. The organization lists Porfirio Rincon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568910818
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSAN GABRIEL CHILDREN'S CENTER, INC.
Location Address337 S ENID AVEAzusa, CA 91702-4302
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 DateSeptember 15, 2016
Last NPPES UpdateMay 1, 20244 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1568910818 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.
337 S ENID AVE, Azusa, CA 91702
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Other Names 1

Other NameSgcc-enid Home

Other Identifiers 1

Medicaid0000056BJCA

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 1568910818. It was assigned to this organization in the NPPES registry on September 15, 2016. The provider is also known as Sgcc-Enid Home.

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

San Gabriel Children's Center, Inc. is located at 337 S Enid 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 May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.