Active NPI
TLC Guest Home, Inc
- Assisted Living Facility
- Lomita, CA
National Provider Identifier
1295248623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.