Organization Active NPI

TLC Guest Home, Inc

  • Assisted Living Facility
  • Lomita, CA
National Provider Identifier
1295248623
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TLC GUEST HOME, INC
Practice address
1700 248TH St
Lomita, CA 90717-1333
Phone
(424) 263-5385
NPI assigned
Nov 7, 2017
Last updated
Nov 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Mary Alyn Abad Domondon, DIRECTOR
Title
Administrator
Phone
(424) 263-5385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1700 248TH St
Lomita, CA 90717-1333

Mailing address

733 W Carson St
Torrance, CA 90502-2106
Phone (702) 502-7632

National Provider Directory

National Provider Directory

Locations

733 W Carson St
Torrance, CA 90502
Phone (424) 488-2500

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1295248623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022106",
            "telephone_number": "702-502-7632",
            "fax_number": "702-359-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 248TH ST",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171333",
            "telephone_number": "424-263-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC GUEST HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "DOMONDON",
        "authorized_official_first_name": "MARY ALYN",
        "authorized_official_middle_name": "ABAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "424-263-5385",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.