Dee'S Group Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

191801439 Issued in CA

Legal business name

DEE'S GROUP HOME INC

Practice address

2721 W 84TH PL
Inglewood, CA 90305-1807

Phone

(323) 752-1467

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Delores Johnson, R.N.

Title

Administrator

Phone

(323) 752-1467

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1073997946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 WEST 77TH STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90044",
            "telephone_number": "323-752-8358",
            "fax_number": "323-778-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 W 84TH PL",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903051807",
            "telephone_number": "323-752-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEE'S GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-752-1467",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "191801439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "30404453",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mattia Day
• Karely De la Cruz
• Ramon De la Rosa
• Helen Dear, NP
• George Debbaneh, DDS
• Pooja K.R. Delk, MD
• Melissa Veronica Delpino
• Delta Dermatology Medical Group
• Mary Catherine Dempsey
• Denise a. Albury M.D., Inc.

• Assisted Living Facility in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.