Organization Active NPI

Mimis Homes,Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Downey, CA
National Provider Identifier
1396831475
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
MIMIS HOMES,INC
Practice address
7142 De Palma St
Downey, CA 90241-4386
Phone
(562) 806-9640
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Mrs. Raquel Montero, RN
Title
President
Phone
(562) 682-1484

Specialties & licenses 1

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

Addresses

Primary practice location

7142 De Palma St
Downey, CA 90241-4386

Mailing address

7142 De Palma St
Downey, CA 90241-4386
Phone (562) 806-9640

Other identifiers 1

IdentifierTypeStateIssuer
LTC 60880FOtherCAMEDICAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1396831475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142 DE PALMA ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414386",
            "telephone_number": "562-806-9640",
            "fax_number": "562-806-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7142 DE PALMA ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414386",
            "telephone_number": "562-806-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMIS HOMES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-682-1484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "LTC 60880F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.