NPIMap

Organization Active NPI

Lynwood Developmental Care, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Compton, CA
National Provider Identifier
1528280690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
9601010 Issued in CA
Legal business name
LYNWOOD DEVELOPMENTAL CARE, INC.
Practice address
711 W Raymond St
Compton, CA 90220-4411
Phone
(310) 635-5609
Fax
(310) 223-5921
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
La Vern L. Neal
Title
Chief Operating Officer
Phone
(310) 223-5920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 9601010 CA Primary
Developmentally Disabled Services Day Training Agency 251C00000X CA

Addresses

Primary practice location

711 W Raymond St
Compton, CA 90220-4411

Mailing address

14925 S Atlantic Ave
Compton, CA 90221-3005
Phone (310) 223-5920

Other names 1

  • Sutter House Other name

National Provider Directory

National Provider Directory
Tax ID family
Lynwood Developmental Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

711 W Raymond St
Compton, CA 90220
Phone (310) 635-5609

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528280690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14925 S ATLANTIC AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213005",
            "telephone_number": "310-223-5920",
            "fax_number": "310-223-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W RAYMOND ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902204411",
            "telephone_number": "310-635-5609",
            "fax_number": "310-223-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNWOOD DEVELOPMENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "LA VERN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "310-223-5920"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "9601010",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.