Leadwell Care Home, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

550002447 Issued in CA

Legal business name

LEADWELL CARE HOME, INC.

Practice address

17256 Leadwell St
Van Nuys, CA 91406-2537

Phone

(818) 625-8874

NPI assigned

Nov 7, 2014

Organization subpart

No

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

Authorized official

Name

Lovely Dadivas Ong, RN

Title

Licensee

Phone

(818) 625-8874

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G716

Legal name

LEADWELL CARE HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Nov 6, 2014

Last certification

Nov 26, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

17256 Leadwell Street
Van Nuys, CA 91406

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1356747059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17256 LEADWELL ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062537",
            "telephone_number": "818-625-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17256 LEADWELL ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062537",
            "telephone_number": "818-625-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADWELL CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "LOVELY",
        "authorized_official_middle_name": "DADIVAS",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "818-625-8874",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "550002447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanh T Le, O.D.
• Nhi Quang Le, PHARMD
• Phuong Nguyen Uyen Le, FNP-C, PMHNP-BC
• Rebecca Le
• Thuy C. Le, CASE MANAGER
• Elvira Leal
• Gabriel Leal
• Leaps & Bounds Family Counseling Center, Inc
• Jason Robert Lebowitz, PHARMD
• Christopher Ledlow, PA-C

• Intellectual Disabilities Intermediate Care Facility in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.