NPIMap

Organization Active NPI

Teri Inc.

Doing business as Parham House

  • Mental Illness Intermediate Care Facility
  • Vista, CA
National Provider Identifier
1093137762
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
550002324 Issued in CA
Legal business name
TERI INC.
Doing business as
Parham House
Practice address
1658 Anza Ave
Vista, CA 92084-3233
Phone
(760) 721-1706
Fax
(760) 721-9872
NPI assigned
Jan 14, 2014
Last updated
Jan 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Cheryl Kilmer
Title
Chief Financial Officer
Phone
(760) 721-1706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 550002324 CA Primary

Addresses

Primary practice location

1658 Anza Ave
Vista, CA 92084-3233

Mailing address

251 Airport Rd
Oceanside, CA 92058-1201
Phone (760) 721-1706

Other names 1

  • Parham House Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093137762. Details of each certification follow.

  • CCN 55G703 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G703

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SUSAN PARHAM HOUSING CORPORATION
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 27, 2013
Last certification
Feb 27, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
1658 Anza Ave
Vista, CA 92084

National Provider Directory

National Provider Directory
Tax ID family
Teri Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1093137762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 AIRPORT RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581201",
            "telephone_number": "760-721-1706",
            "fax_number": "760-721-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 ANZA AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843233",
            "telephone_number": "760-721-1706",
            "fax_number": "760-721-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "KILMER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "760-721-1706"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "CA",
            "license": "550002324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parham House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.