NPIMap

Organization Active NPI

Our House Residential Care, Inc

Doing business as Our House - Shannon

  • Intellectual Disabilities Intermediate Care Facility
  • Madera, CA
National Provider Identifier
1467517912
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
OUR HOUSE RESIDENTIAL CARE, INC
Doing business as
Our House - Shannon
Practice address
525 Shannon Ave
Madera, CA 93637-4213
Phone
(559) 673-1922
Fax
(559) 673-4825
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Dana Dawn Lennemann
Title
VP of Operations
Phone
(559) 674-8670

Specialties & licenses 1

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

Addresses

Primary practice location

525 Shannon Ave
Madera, CA 93637-4213

Mailing address

109 E Central Ave
Madera, CA 93638-3109
Phone (559) 674-8670

Other names 1

  • Our House - Shannon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G937

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OUR HOUSE - SHANNON
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 14, 1995
Last certification
Dec 11, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
525 Shannon
Madera, CA 93637

National Provider Directory

National Provider Directory
Tax ID family
Our House Residential Care Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1467517912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E CENTRAL AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383109",
            "telephone_number": "559-674-8670",
            "fax_number": "559-673-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SHANNON AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374213",
            "telephone_number": "559-673-1922",
            "fax_number": "559-673-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE RESIDENTIAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "LENNEMANN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "559-674-8670"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our House - Shannon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.