NPIMap

Organization Active NPI

Jasmine Centers, Inc. - Beach Avenue House

  • Intellectual Disabilities Intermediate Care Facility
  • Los Angeles, CA
National Provider Identifier
1437367653
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
960000566 Issued in CA
Legal business name
JASMINE CENTERS, INC. - BEACH AVENUE HOUSE
Practice address
3846 Chanson Dr
Los Angeles, CA 90043-1602
Phone
(310) 674-8345
Fax
(310) 674-8282
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Faye Williams
Title
Licensee
Phone
(310) 674-8345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 960000566 CA Primary

Addresses

Primary practice location

3846 Chanson Dr
Los Angeles, CA 90043-1602

Mailing address

105 S Prairie Ave
Inglewood, CA 90301-1969
Phone (310) 674-8345

Other names 1

  • Beach Avenue House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beach Avenue House3 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": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1437367653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011969",
            "telephone_number": "310-674-8345",
            "fax_number": "310-674-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3846 CHANSON DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431602",
            "telephone_number": "310-674-8345",
            "fax_number": "310-674-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE CENTERS, INC. - BEACH AVENUE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "310-674-8345"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960000566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Avenue House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.