NPIMap

Organization Active NPI

Careprovider Org Foundation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Covina, CA
National Provider Identifier
1568913580
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CAREPROVIDER ORG FOUNDATION
Practice address
858 Kidder Ave
Covina, CA 91724-2615
Phone
(626) 967-1105
Fax
(626) 967-1107
NPI assigned
Oct 14, 2016
Organization subpart
Yes
Parent organization
CAREPROVIDER ORG FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Dorothea Elnora Buford-Levels
Title
Head of Service
Phone
(310) 944-2314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

858 Kidder Ave
Covina, CA 91724-2615

Mailing address

281 E Workman St Ste 203
Covina, CA 91723-3566
Phone (626) 967-1105

Other names 1

  • CCFS I COVINA Other name

National Provider Directory

National Provider Directory
Tax ID family
Careprovider Org Foundation4 organizations share this tax ID, including this one
Part of
Careprovider Org Foundation

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1568913580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 E WORKMAN ST STE 203",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233566",
            "telephone_number": "626-967-1105",
            "fax_number": "626-967-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 KIDDER AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242615",
            "telephone_number": "626-967-1105",
            "fax_number": "626-967-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPROVIDER ORG FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREPROVIDER ORG FOUNDATION",
        "enumeration_date": "2016-10-14",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "BUFORD-LEVELS",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_middle_name": "ELNORA",
        "authorized_official_title_or_position": "HEAD OF SERVICE",
        "authorized_official_telephone_number": "310-944-2314"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCFS I COVINA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CCFS I COVINA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.