NPIMap

Organization Active NPI

Caridean, Inc.

Doing business as Wood Riva Place

  • Intellectual Disabilities Intermediate Care Facility
  • Los Angeles, CA
National Provider Identifier
1063621126
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
960000880 Issued in CA
Legal business name
CARIDEAN, INC.
Doing business as
Wood Riva Place
Practice address
1942 Thoreau St
Los Angeles, CA 90047-4725
Phone
(323) 756-5138
Fax
(323) 779-3615
NPI assigned
May 22, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Carrie Griffis
Title
Licensee
Phone
(323) 770-2051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 960000880 CA Primary

Addresses

Primary practice location

1942 Thoreau St
Los Angeles, CA 90047-4725

Mailing address

1948 Thoreau St
Los Angeles, CA 90047-4725
Phone (323) 770-2051

Other names 1

  • Wood Riva Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caridean 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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1063621126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 THOREAU ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474725",
            "telephone_number": "323-770-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 THOREAU ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474725",
            "telephone_number": "323-756-5138",
            "fax_number": "323-779-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIDEAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "GRIFFIS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "323-770-2051"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960000880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood Riva Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.