NPIMap

Organization Active NPI

Villa de Martin Jude Homes Atlanta House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Anaheim, CA
National Provider Identifier
1316377229
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
VILLA DE MARTIN JUDE HOMES ATLANTA HOUSE
Practice address
2204 S Atlanta St
Anaheim, CA 92802-3905
Phone
(714) 539-0696
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Mr. Ramon Lopez
Title
Owner/Administrator
Phone
(714) 746-4294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X CA Primary

Addresses

Primary practice location

2204 S Atlanta St
Anaheim, CA 92802-3905

Mailing address

2204 S Atlanta St
Anaheim, CA 92802-3905
Phone (714) 539-0696

National Provider Directory

National Provider Directory
Tax ID family
Villa de Martin Jude Homes Archer 23 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1316377229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S ATLANTA ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023905",
            "telephone_number": "714-539-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S ATLANTA ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023905",
            "telephone_number": "714-539-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA DE MARTIN JUDE HOMES ATLANTA HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "714-746-4294",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.