Lillianna Residential Home

Primary specialty

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

License

336400918 Issued in CA

Legal business name

LILLIANNA RESIDENTIAL HOME

Practice address

2051 Rancho Dr
Riverside, CA 92507-5841

Phone

(951) 780-3924

NPI assigned

Jul 30, 2009

Last updated

Jul 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Chizuko Kamiyama Altemus

Title

Careprovider

Phone

(951) 780-3924

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1265663801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53264",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925174264",
            "telephone_number": "951-780-3924",
            "fax_number": "951-780-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 RANCHO DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075841",
            "telephone_number": "951-780-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIANNA RESIDENTIAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "ALTEMUS",
        "authorized_official_first_name": "CHIZUKO",
        "authorized_official_middle_name": "KAMIYAMA",
        "authorized_official_title_or_position": "CAREPROVIDER",
        "authorized_official_telephone_number": "951-780-3924",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "336400918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifepath Center PLLC
• Lifequality Nutrition Network Cooperative Inc. (Michelle Missy Porteous, MS, RD, CDE)
• Daniel Lightner
• John David Lii
• Dorry Lillard, APCC
• Adriana Lilly, L.C.S.W
• David B. Lim, MD
• Dee W. Lim, MD
• Joon Sup Lim
• Patrick Angelo Sanchez Lim, DDS

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Riverside, CA
• Providers in Riverside, 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 30, 2009; 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.