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ETTIE LEE HOMES POMONA
NPI 1992890057
Clinic/Center - Adolescent and Children Mental Health in Pomona, CA

Active since October 04, 2006
160 E HOLT AVE STE B, POMONA, CA 91767(909) 620-2521(909) 620-9793 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2022, Jun 22, 2016 (2 updates tracked since 2016).

About Ettie Lee Homes Pomona NPPES

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

ETTIE LEE HOMES POMONA (NPI 1992890057) is a healthcare organization registered as an adolescent and children mental health in Pomona, California and active in the NPI registry since October 2006. The organization lists Windy Luna Perez, Qa Manager, as its authorized official.

NPPES Registry Identity

NPI1992890057
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameETTIE LEE HOMES, INC
Location Address160 E HOLT AVE STE BPomona, CA 91767-5407
Mailing Address303 W Foothill Blvd Ste 13Glendora, CA 91741-3386 · (626) 960-4861 · Fax (626) 960-6241
Phone(909) 620-2521
Fax(909) 620-9793
Organization SubpartNo
Authorized OfficialWindy Luna PerezQa Manager · (909) 620-2521
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 24, 20242 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
✔ NPI 1992890057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedFoster Care AgencyTaxonomy 253J00000X
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X · License C07933 (CA)
160 E HOLT AVE STE B, Pomona, CA 91767
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Other Names 1

Doing Business AsEttie Lee Homes Pomona

Other Identifiers 2

Other36IHCRCA · Sbcdbh
Other7453ACA · Lacdmh

Other Providers at the Same Location NPPES 20

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

MAYDY BRAN-ORONA
Counselor (Mental Health)
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MARGARET PENNINGTON
Rehabilitation Practitioner
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
ROCIO HERNANDEZ
Student in an Organized Health Care Education/Training Program
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MR. MARCUS KNIGHT
Rehabilitation Practitioner
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
JOHN JOSEPH BENEDICT SEVILLA
Marriage & Family Therapist
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
IVETTE GONZALEZ
Counselor (Mental Health)
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
VICTOR MORA
Counselor
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MR. FRANK YBARRA JR.
Rehabilitation Practitioner
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521

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 Ettie Lee Homes, Inc's NPI number?

The NPI number for Ettie Lee Homes, Inc is 1992890057. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Ettie Lee Homes Pomona.

Where is Ettie Lee Homes, Inc located?

Ettie Lee Homes, Inc is located at 160 E Holt Ave Ste B, Pomona, CA 91767. The listed phone number is (909) 620-2521.

What is Ettie Lee Homes, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Ettie Lee Homes, Inc was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.