NPIMap

Organization Active NPI

Deliann-Lucile

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Los Angeles, CA
National Provider Identifier
1306395454
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
198203559 Issued in CA
Legal business name
DELIANN-LUCILE
Practice address
5800 Hannum Ave Ste 230
Los Angeles, CA 90230-6553
Phone
(310) 837-5494
Fax
(310) 815-8601
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Mary L Davis
Title
Ceo/Founder
Phone
(310) 215-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 198203559 CA Primary

Addresses

Primary practice location

5800 Hannum Ave Ste 230
Los Angeles, CA 90230-6553

Mailing address

5800 Hannum Ave Ste 230
Los Angeles, CA 90230-6553
Phone (310) 215-8900

Other names 1

  • DeliLu Achievement Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Deliann-Lucile Corporation7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

5800 Hannum Ave
Ste 230
Los Angeles, CA 90230
Phone (310) 837-5494

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1306395454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HANNUM AVE STE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "902306553",
            "telephone_number": "310-215-8900",
            "fax_number": "310-215-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HANNUM AVE STE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "902306553",
            "telephone_number": "310-837-5494",
            "fax_number": "310-815-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIANN-LUCILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "310-215-8900"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "198203559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeliLu Achievement Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.