MEDICARE: NORTH HILLS HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility		CA

General Provider Information

NPI Number	:	1124199740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH HILLS HOME

Provider Business Mailing Address
First Line	:	PO BOX 950713
Second Line	:
City	:	MISSION HILLS
State	:	CA
Zip	:	91395-0713
Country	:	US
Telephone Number	:	818-314-3820
Fax Number	:	818-450-0802

Provider Business Practice Location Address
First Line	:	8533 WOODLEY AVE
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-5716
Country	:	US
Telephone Number	:	818-893-3244
Fax Number	:	818-450-0802

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. REDEMPTA D CATOLICO
Credential	:
Telephone Number	:	818-314-3820

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	08/22/2020

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