SL Start Ca, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SL START CA, LLC

Practice address

19300 S Hamilton Ave
Ste 130
Gardena, CA 90248-4400

Phone

(310) 327-7845

NPI assigned

Jul 18, 2016

Organization subpart

Yes

Parent organization

EMBASSY MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Michelle Wilson

Title

Billing Manager

Phone

(509) 209-2777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1215380001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 W SUNSET HWY",
            "address_2": "#100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992246005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 S HAMILTON AVE",
            "address_2": "STE 130",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484400",
            "telephone_number": "310-327-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL START CA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMBASSY MANAGEMENT, LLC",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "509-209-2777"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gardena, CA
• Providers in Gardena, CA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.