Larchmont Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

LARCHMONT HOME

Practice address

627 Larchmont Dr
Daly City, CA 94015-3637

Phone

(650) 994-3673

NPI assigned

Apr 1, 2008

Organization subpart

Yes

Parent organization

4JS HOME INC.As reported in NPPES

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

Authorized official

Name

Ms. Yolanda Ruiz

Title

Licensee/Cfo

Phone

(650) 303-0788

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Larchmont Home

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julieta Torres Abad

  • Nurse's Aide
  • Daly City, CA
  • NPI 1902424328
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1043482862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 LARCHMONT DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153637",
            "telephone_number": "650-994-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 LARCHMONT DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153637",
            "telephone_number": "650-994-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCHMONT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "4JS HOME INC.",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "LICENSEE/CFO",
        "authorized_official_telephone_number": "650-303-0788",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60988F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lam, DDS
• Sarah Lamson, PHARMD
• Derek Lao
• Michelle Lapitan
• Miquela G Lara, N/A
• Gary Larioza, RPT
• Meagan Nicolle Larks
• Marianne Laruffa, MFT
• Keith Ferrari Lasko, MD
• Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun

• All providers in Daly City, CA
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.