NPIMap

Organization Active NPI

Villa de Martin Jude Homes, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Anaheim, CA
National Provider Identifier
1194808261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
VILLA DE MARTIN JUDE HOMES, INC.
Practice address
520 S Archer St
Anaheim, CA 92804-2422
Phone
(714) 776-8536
Fax
(714) 242-9195
NPI assigned
Oct 23, 2006
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
Mr. Ramon S Lopez
Title
President
Phone
(714) 746-4294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X CA Primary

Addresses

Primary practice location

520 S Archer St
Anaheim, CA 92804-2422

Mailing address

5245 Avenida de Kristine
Yorba Linda, CA 92887-4033
Phone (714) 692-2547

National Provider Directory

National Provider Directory
Tax ID family
Villa de Martin Jude Homes Archer 23 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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194808261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 AVENIDA DE KRISTINE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874033",
            "telephone_number": "714-692-2547",
            "fax_number": "714-242-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S ARCHER ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042422",
            "telephone_number": "714-776-8536",
            "fax_number": "714-242-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA DE MARTIN JUDE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-746-4294",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, 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.