NPIMap

Organization Active NPI

Luvlee's Residential Care, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Chino, CA
National Provider Identifier
1649792763
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
360908565 Issued in CA
Legal business name
LUVLEE'S RESIDENTIAL CARE, INC.
Practice address
4340 Wilson St
Chino, CA 91710-3233
Phone
(909) 590-0805
Fax
(909) 594-2922
NPI assigned
Jul 11, 2017
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Latasha Hardge
Title
Assistant Director
Phone
(909) 594-2762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 360908565 CA Primary

Addresses

Primary practice location

4340 Wilson St
Chino, CA 91710-3233

Mailing address

PO Box 2232
Walnut, CA 91788-2232
Phone (909) 594-2762

Other names 1

  • New Dawn- Chino Other name

National Provider Directory

National Provider Directory
Tax ID family
Luvlee's Residential Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1649792763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2232",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917882232",
            "telephone_number": "909-594-2762",
            "fax_number": "909-594-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 WILSON ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103233",
            "telephone_number": "909-590-0805",
            "fax_number": "909-594-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUVLEE'S RESIDENTIAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "HARDGE",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "909-594-2762"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "360908565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Dawn- Chino",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.