T.D.D. Supportive Living Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

T.D.D. SUPPORTIVE LIVING INC

Practice address

235 W 99TH St
Los Angeles, CA 90003-4116

Phone

(323) 899-9398

Fax

(323) 978-6903

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Deborah Roberson, CMPSS #MPSS-OUQDWB

Title

Ceo

Phone

(323) 899-9398

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1497570162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 S VICTORIA AVE",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900431214",
            "telephone_number": "323-899-9398",
            "fax_number": "323-978-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 99TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900034116",
            "telephone_number": "323-899-9398",
            "fax_number": "323-978-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.D.D. SUPPORTIVE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-899-9398",
        "authorized_official_credential": "CMPSS #MPSS-OUQDWB"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T Michael, LLC
• T Michael,LLC
• T Michael,LLC
• Thu T T Moreno
• T Nikravesh MD Corporation
• T.F.C Pharmacy Inc
• T.F.C Pharmacy, Inc.
• T.H.E. Clinic, Inc.
• T.H.E. Clinic, Inc.
• T.H.E. Clinic, Inc.

• Case Management Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.