David's House, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

DAVID'S HOUSE, LLC

Practice address

3 Cedar RDG
Irvine, CA 92603-3601

Phone

(949) 725-9009

Fax

(949) 769-3434

NPI assigned

Sep 29, 2010

Last updated

Sep 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Mraule

Title

Owner/Administrator

Phone

(949) 725-9009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568771244. Details of each certification follow.

• CCN 55G664 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G664

Legal name

DAVID'S HOUSE

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Aug 30, 2011

Last certification

Apr 9, 2025

Beds

6

Ownership / control type

Private (non-profit)

Facility address

3 Cedar Ridge
Irvine, CA 92603

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1568771244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CEDAR RDG",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926033601",
            "telephone_number": "949-725-9009",
            "fax_number": "949-769-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CEDAR RDG",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926033601",
            "telephone_number": "949-725-9009",
            "fax_number": "949-769-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID'S HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "MRAULE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "949-725-9009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Shapiro, PH.D. (David Shapiro, Ph.D. & Associates)
• David Son, DDS
• David Yang D.P.M. Inc.
• Allan Everett David, M.D.
• Leeanna David
• Chantelle Davidson, PHARMD
• Marjorie Monterrey Davidson, PMHNP
• Wendy Suzanne Davidson, AMFT
• Amber Davies
• Penelope Ruth Perrigo Davies, LMFT

• Intellectual Disabilities Intermediate Care Facility in Irvine, CA
• Providers in Irvine, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.