NPIMap

Organization Active NPI

Teaching Living Concepts Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Rohnert Park, CA
National Provider Identifier
1043347388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
TEACHING LIVING CONCEPTS INC
Practice address
804 Lombard Way
Rohnert Park, CA 94928-4504
Phone
(707) 795-1715
Fax
(707) 664-1356
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Velvet Perez
Title
President Ceo
Phone
(707) 571-1858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

804 Lombard Way
Rohnert Park, CA 94928-4504

Mailing address

840 Mark West Springs Rd
Santa Rosa, CA 95404-1140
Phone (707) 571-1858

Other identifiers 2

IdentifierTypeStateIssuer
55G384OtherCASTATE PROVIDER ID
LTC60976GOtherCAMEDI-CAL PROVIDER ID

Other names 1

  • TLC on Lombard Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Teaching Living Concepts Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043347388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MARK WEST SPRINGS RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041140",
            "telephone_number": "707-571-1858",
            "fax_number": "707-571-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 LOMBARD WAY",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949284504",
            "telephone_number": "707-795-1715",
            "fax_number": "707-664-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEACHING LIVING CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "VELVET",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "707-571-1858",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER ID",
            "identifier": "55G384",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER ID",
            "identifier": "LTC60976G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC on Lombard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.