NPIMap

Organization Active NPI

Lavelle Youth Homes

  • Clinic/Center
  • Glendora, CA
National Provider Identifier
1649434697
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAVELLE YOUTH HOMES
Practice address
1025 W Arrow Hwy
Glendora, CA 91740-5450
Phone
(323) 829-0234
NPI assigned
Jul 17, 2008
Organization subpart
Yes
Parent organization
LAVELLE YOUTH HOMESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Mrs. Traci J Lavelle
Title
Executive Dir
Phone
(323) 829-0234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1025 W Arrow Hwy
Glendora, CA 91740-5450

Mailing address

1025 Arrow High Way
Glendora, CA 91740-5450
Phone (323) 829-0234

Other names 1

  • The Lavelle Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lavelle Youth Homes5 organizations share this tax ID, including this one
Part of
Lavelle Youth Homes

Other organizations with this tax ID 4

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

Locations

1025 W Arrow Hwy
Glendora, CA 91740
Phone (323) 829-0234

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1649434697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ARROW HIGH WAY",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405450",
            "telephone_number": "323-829-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W ARROW HWY",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405450",
            "telephone_number": "323-829-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVELLE YOUTH HOMES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAVELLE YOUTH HOMES",
        "enumeration_date": "2008-07-17",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIR",
        "authorized_official_telephone_number": "323-829-0234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lavelle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.