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EGGLESTON BHS - WEST COVINA
NPI 1972040194
Residential Treatment Facility, Emotionally Disturbed Children in West Covina, CA

Active since January 25, 2017
1526 S ST MALO ST, WEST COVINA, CA 91790(626) 480-8107(626) 869-0280 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2018, Jan 31, 2017, Jan 26, 2017 (3 updates tracked since 2017).

About Eggleston Bhs - West Covina NPPES

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

EGGLESTON BHS - WEST COVINA (NPI 1972040194) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in West Covina, 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

NPI1972040194
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameEGGLESTON YOUTH CENTERS, INC.
Location Address1526 S ST MALO STWest Covina, CA 91790-4836
Mailing Address13001 Ramona Blvd Ste EIrwindale, CA 91706-3752 · (626) 480-8107 · Fax (626) 869-0280
Phone(626) 480-8107
Fax(626) 869-0280
Organization SubpartYes
Authorized OfficialCassandra Elaine Gibson-judkinsAssistant Executive Director · (626) 480-8107
Enumeration DateJanuary 25, 2017
Last NPPES UpdateApril 25, 20183 updates tracked since enumeration
✔ NPI 1972040194 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 · 197806374
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.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
1526 S ST MALO ST, West Covina, CA 91790
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Other Names 1

Other NameEggleston Bhs - West Covina

Other Providers at the Same Location NPPES

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

KAIAMEKA BROWN
Rehabilitation Practitioner
1526 S ST MALO ST
WEST COVINA, CA 91790
Los Angeles County (626) 214-0916

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 1972040194. It was assigned to this organization in the NPPES registry on January 25, 2017. The provider is also known as Eggleston Bhs - West Covina.

Where is Eggleston Youth Centers, Inc. located?

Eggleston Youth Centers, Inc. is located at 1526 S St Malo St, West Covina, CA 91790. 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 April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.