A Home for US Foundation Incorporated

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

190449AN Issued in CA

Legal business name

A HOME FOR US FOUNDATION INCORPORATED

Practice address

5010 11TH Ave
Room 106 & 104
Los Angeles, CA 90043-4816

Phone

(323) 348-4134

Fax

(323) 292-5543

NPI assigned

Aug 8, 2010

Last updated

Dec 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adrianne Marcia Moore, M.A., M FTI

Title

Executive Director

Phone

(323) 348-4134

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

A Home for US Foundation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• A Home for US Foundation Inc.

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Los Angeles, CA
  • NPI 1437362647
  NPD tax ID

Locations

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1073828638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 2ND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081901",
            "telephone_number": "323-348-4134",
            "fax_number": "323-292-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 11TH AVE",
            "address_2": "ROOM 106 & 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434816",
            "telephone_number": "323-348-4134",
            "fax_number": "323-292-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HOME FOR US FOUNDATION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-08",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_middle_name": "MARCIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-348-4134",
        "authorized_official_credential": "M.A., M FTI"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "190449AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDI CAL",
            "identifier": "1437362647",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.