David and Margaret Home, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

191500192 Issued in CA

Legal business name

DAVID AND MARGARET HOME, INC.

Practice address

1350 3Rd St
La Verne, CA 91750-5201

Phone

(909) 596-5921

Fax

(909) 596-7583

NPI assigned

Feb 8, 2017

Organization subpart

Yes

Parent organization

DAVID AND MARGARET HOME, INC.As reported in NPPES

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

Authorized official

Name

Charles Rich, LCSW

Title

Executive Director

Phone

(909) 596-5921

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• David and Margaret STRTP Other name

Tax ID family

David Margaret Home Inc3 organizations share this tax ID, including this one

Part of

David Margaret Home Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• David & Margaret Home, Inc.

  • Community/Behavioral Health Agency
  • La Verne, CA
  • NPI 1407917784
  NPD tax ID
• David & Margaret Home, Inc.

  • Community/Behavioral Health Agency
  • San Dimas, CA
  • NPI 1922444959
  NPD tax ID

Locations

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1255879417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 3RD ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505201",
            "telephone_number": "909-596-5921",
            "fax_number": "909-596-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 3RD ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505201",
            "telephone_number": "909-596-5921",
            "fax_number": "909-596-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID AND MARGARET HOME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID AND MARGARET HOME, INC.",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-596-5921",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "191500192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01227",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David and Margaret STRTP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica A Cummings, PT SCS
• Aleya Cunningham
• Cecilia Cusimano Murillo, MD
• Tony Daher, D.D.S.
• David & Margaret Home, Inc.
• Joshua Davis, ATC, CSCS
• Priscilla Davis, CMT
• Janette De la Sota
• Isabel De la Torre
• Erica Catherine De Leon

• Emotionally Disturbed Childrens' Residential Treatment Facility in La Verne, CA
• Providers in La Verne, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.