1083749725 NPI number — THE VILLAGE FAMILY SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083749725 NPI number — THE VILLAGE FAMILY SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE VILLAGE FAMILY SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083749725
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6736 LAUREL CANYON BLVD STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH HOLLYWOOD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91606-1576
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-755-8786
Provider Business Mailing Address Fax Number:
818-755-8789

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6736 LAUREL CANYON BLVD STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH HOLLYWOOD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91606-1576
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-755-8786
Provider Business Practice Location Address Fax Number:
818-755-8789
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
VEGA
Authorized Official First Name:
LORENA
Authorized Official Middle Name:
Authorized Official Title or Position:
RISK MGMT. AND COMPLIANCE MANAGER
Authorized Official Telephone Number:
818-755-8786

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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