NPIMap

Organization Active NPI

Lavelle Youth Homes

  • Public Health or Welfare Agency
  • Inglewood, CA
National Provider Identifier
1407972714
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LAVELLE YOUTH HOMES
Practice address
652 E Manchester Blvd
Inglewood, CA 90301-1910
Phone
(310) 677-2569
Fax
(310) 677-9429
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Ms. Traci Lavelle
Title
President and Ceo
Phone
(310) 677-2569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

652 E Manchester Blvd
Inglewood, CA 90301-1910

Mailing address

652 E Manchester Blvd
Inglewood, CA 90301-1910
Phone (310) 677-2569

Other identifiers 1

IdentifierTypeStateIssuer
7132OtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • The Lavelle Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lavelle Youth Homes5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1407972714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 E MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011910",
            "telephone_number": "310-677-2569",
            "fax_number": "310-677-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 E MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011910",
            "telephone_number": "310-677-2569",
            "fax_number": "310-677-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVELLE YOUTH HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "310-677-2569",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "7132",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lavelle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.