Organization Active NPI

Home From Home Inc

  • Professional Counselor
  • Lakewood, CA
National Provider Identifier
1053578393
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HOME FROM HOME INC
Practice address
4125 South Street
Lakewood, CA 90711-1043
Phone
(562) 682-3858
Fax
(562) 391-4442
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Julius Irumundomon, RCP
Title
Executive Director
Phone
(562) 682-3858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4125 South Street
Lakewood, CA 90711-1043

Mailing address

4125 South Street
Lakewood, CA 90711
Phone (562) 682-3858

National Provider Directory

National Provider Directory

Locations

4125 South St
Lakewood, CA 90712
Phone (562) 682-3858

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1053578393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 SOUTH STREET",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90711",
            "telephone_number": "562-682-3858",
            "fax_number": "562-391-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 SOUTH STREET",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907111043",
            "telephone_number": "562-682-3858",
            "fax_number": "562-391-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FROM HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "IRUMUNDOMON",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-682-3858",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.