K and S Group Home 11 Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

K AND S GROUP HOME 11 INC

Practice address

22008 Rashdall Ave
Carson, CA 90745-2916

Phone

(310) 834-3644

Fax

(310) 834-2899

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Divina Pasaporte Cendana

Title

Owner

Phone

(310) 326-0374

Specialties & licenses 1

Addresses

Other names 1

• LUIS CENDANA Other name

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1679660898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 254TH ST",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102716",
            "telephone_number": "310-326-0374",
            "fax_number": "310-517-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22008 RASHDALL AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452916",
            "telephone_number": "310-834-3644",
            "fax_number": "310-834-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND S GROUP HOME 11 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "CENDANA",
        "authorized_official_first_name": "DIVINA",
        "authorized_official_middle_name": "PASAPORTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-326-0374",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUIS CENDANA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ulumma Njoku Joseph, LCSW
• Christina Juarez
• Jubilee Radiology, Inc
• Grace Ann Jung, O.D.
• K & S Group Home 3 Inc
• Kalifornia Helping Hands & Care LLC
• Stephen Kandis, MFT
• Krystal Marie Karalli, RD
• Karteena'S Rcfe
• Clifford Keith

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Carson, CA
• Providers in Carson, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.