EGGLESTON BHS - LA VERNE
NPI 1689111809
Residential Treatment Facility, Emotionally Disturbed Children in Pomona, CA

Active since January 25, 2017
215 W LA VERNE AVE, POMONA, CA 91767(626) 480-8107(626) 869-0280 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2018, Feb 13, 2018, Jan 31, 2017 and 1 more (4 updates tracked since 2017).

About Eggleston Bhs - La Verne NPPES

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

EGGLESTON BHS - LA VERNE (NPI 1689111809) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Pomona, California and active in the NPI registry since January 2017. The organization lists Cassandra Elaine Gibson-judkins, Assistant Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689111809
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameEGGLESTON YOUTH CENTERS, INC.
Location Address215 W LA VERNE AVEPomona, CA 91767-2333
Mailing Address13001 Ramona Blvd Ste EIrwindale, CA 91706-3752 · (626) 480-8107 · Fax (626) 869-0280
Fax(626) 869-0280
Organization SubpartYes
Authorized OfficialCassandra Elaine Gibson-judkinsAssistant Executive Director · (626) 480-8107
Enumeration DateJanuary 25, 2017
Last NPPES UpdateOctober 2, 20184 updates tracked since enumeration
NPI 1689111809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License Licensed in CA · LCSW
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.
215 W LA VERNE AVE, Pomona, CA 91767

Other Names 1

Other NameEggleston Bhs - La Verne

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 Eggleston Youth Centers, Inc.'s NPI number?

The NPI number for Eggleston Youth Centers, Inc. is 1689111809. It was assigned to this organization in the NPPES registry on January 25, 2017. The provider is also known as Eggleston Bhs - La Verne.

Where is Eggleston Youth Centers, Inc. located?

Eggleston Youth Centers, Inc. is located at 215 W La Verne Ave, Pomona, CA 91767. The listed phone number is (626) 480-8107.

What is Eggleston Youth Centers, 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 Eggleston Youth Centers, Inc. was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.