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HOLLYWOOD HOUSE
NPI 1689119380
Residential Treatment Facility, Emotionally Disturbed Children in Los Angeles, CA

Active since January 04, 2017
1719 TAFT AVE, LOS ANGELES, CA 90028(323) 957-7757 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hollywood House NPPES

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

HOLLYWOOD HOUSE (NPI 1689119380) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Los Angeles, California and active in the NPI registry since January 2017. The organization lists Mark Supper, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1689119380
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameLOS ANGELES YOUTH NETWORK
Location Address1719 TAFT AVELos Angeles, CA 90028-5704
Mailing Address1754 Taft AveLos Angeles, CA 90028-5705 · (323) 366-2450
Phone(323) 957-7757
Organization SubpartNo
Authorized OfficialMark SupperPresident/ceo · (323) 467-8466
Enumeration DateJanuary 4, 2017
Last NPPES UpdateJanuary 6, 2017
✔ NPI 1689119380 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
License✔ Licensed in CA · 198208596
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.
1719 TAFT AVE, Los Angeles, CA 90028
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Other Names 1

Other NameHollywood House

Other Providers at the Same Location NPPES 2

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

HONEY BIANCHI
Counselor (Mental Health)
1719 TAFT AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 957-7757
EHECATL CHUMACERO-ROJAS
Case Manager/Care Coordinator
1719 TAFT AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 467-8466

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 Los Angeles Youth Network's NPI number?

The NPI number for Los Angeles Youth Network is 1689119380. It was assigned to this organization in the NPPES registry on January 4, 2017. The provider is also known as Hollywood House.

Where is Los Angeles Youth Network located?

Los Angeles Youth Network is located at 1719 Taft Ave, Los Angeles, CA 90028. The listed phone number is (323) 957-7757.

What is Los Angeles Youth Network'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 Los Angeles Youth Network was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.