Healthcare Provider Details

I. General information

NPI: 1922931187
Provider Name (Legal Business Name): NICK AND NORMAS NO CHILD LEFT BEHIND FUND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40196 171ST ST E
PALMDALE CA
93591-3106
US

IV. Provider business mailing address

PO BOX 7001
PORTER RANCH CA
91327-7001
US

V. Phone/Fax

Practice location:
  • Phone: 818-492-0487
  • Fax:
Mailing address:
  • Phone: 818-492-0487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name: MRS. NORMA G DORAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 818-492-0487