Organization Active NPI

Caridean Place

  • Intellectual Disabilities Intermediate Care Facility
  • Los Angeles, CA
National Provider Identifier
1174731384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CARIDEAN PLACE
Practice address
1948 Thoreau St
Los Angeles, CA 90047-4725
Phone
(323) 770-2051
Fax
(323) 779-3615
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 CA Primary

Addresses

Primary practice location

1948 Thoreau St
Los Angeles, CA 90047-4725

Mailing address

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

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": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174731384",
    "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": "1948 THOREAU ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474725",
            "telephone_number": "323-770-2051",
            "fax_number": "323-779-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIDEAN PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2020-08-22",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.