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NPI 1275966459 · Intellectual Disabilities Intermediate Care Facility · Reseda, CA
Provider details
- NPI number
- 1275966459
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Simreth Gill, Board Member(626) 523-2422
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19133 Ingomar St
Reseda, CA 91335-1720
Phone: (818) 360-3317
Fax: (818) 357-2437
Street-level locationGet directions
Mailing address
19133 Ingomar St
Reseda, CA 91335-1720
Registry dates
- Enumerated
- 2013-08-12
- Last updated
- 2014-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.