MCLENNAN AVENUE HOME
NPI 1629560263
Intermediate Care Facility, Intellectual Disabilities in Granada Hills, CA

Q: What is Mclennan Avenue Home's NPI number?

The NPI number for Mclennan Avenue Home is 1629560263. It was assigned to this organization in the NPPES registry on May 30, 2018.

Q: What is Mclennan Avenue Home's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since May 30, 2018

12325 MCLENNAN AVE, GRANADA HILLS, CA 91344(818) 886-3172(747) 300-9108 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mclennan Avenue Home NPPES

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

MCLENNAN AVENUE HOME (NPI 1629560263) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Granada Hills, California and active in the NPI registry since May 2018. The organization lists Roy L Martin, President, as its authorized official.

NPPES Registry Identity

NPI1629560263

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameMCLENNAN AVENUE HOME

Location Address12325 MCLENNAN AVEGranada Hills, CA 91344-1716

Mailing Address12325 Mclennan AveGranada Hills, CA 91344-1716 · (818) 886-3172 · Fax (747) 300-9108

Phone(818) 886-3172

Fax(747) 300-9108

Organization SubpartNo

Authorized OfficialRoy L MartinPresident · (323) 253-5316

Enumeration DateMay 30, 2018

Last NPPES UpdateJanuary 16, 2024

NPPES CertifiedJanuary 16, 2024

✔ NPI 1629560263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

12325 MCLENNAN AVE, Granada Hills, CA 91344

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Other Providers at the Same Location NPPES

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

MCLENNAN HOME

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

12325 MCLENNAN AVE
GRANADA HILLS, CA 91344

Los Angeles County (818) 886-3172

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 Mclennan Avenue Home's NPI number?

The NPI number for Mclennan Avenue Home is 1629560263. It was assigned to this organization in the NPPES registry on May 30, 2018.

Where is Mclennan Avenue Home located?

Mclennan Avenue Home is located at 12325 Mclennan Ave, Granada Hills, CA 91344. The listed phone number is (818) 886-3172.

What is Mclennan Avenue Home's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Mclennan Avenue Home was last updated on January 16, 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.