Normandie Place

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

960000798 Issued in CA

Legal business name

NORMANDIE PLACE

Practice address

14509 S Normandie Ave
Gardena, CA 90247-2405

Phone

(310) 767-1390

Fax

(310) 767-1007

NPI assigned

May 16, 2007

Organization subpart

Yes

Parent organization

ST. MARY INVESTMENTS, INC.As reported in NPPES

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

Authorized official

Name

Dr. Eugene Hardin, M.D.

Title

Licensee

Phone

(310) 739-3585

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G639

Legal name

NORMANDIE PLACE

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jan 25, 1993

Last certification

Mar 28, 2025

Beds

6

Ownership / control type

Private (non-profit)

Facility address

14509 S Normandie
Gardena, CA 90247

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

CLIA laboratory certificates

Part of

Mary'S House

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1407063886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 CONDON AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601216",
            "telephone_number": "310-739-3585",
            "fax_number": "310-767-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14509 S NORMANDIE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472405",
            "telephone_number": "310-767-1390",
            "fax_number": "310-767-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMANDIE PLACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY INVESTMENTS, INC.",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "310-739-3585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960000798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1407063886",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noga Klain & Associates, Inc.
• Kimberly Marie Noriega
• Marilyn Masunaka Noriega, MA-OTR,L
• Betty R Norman
• Casey Norman
• Normandy Joseph Dental Group
• Marlene Lashawn Norwood, M.A.
• Nourishing Seasons Inc.
• Stephanie Rachel Novick
• Anastasia Novikova

• Intellectual Disabilities Intermediate Care Facility in Gardena, CA
• Providers in Gardena, 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 Jul 3, 2008; 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.