NPIMap

Organization Active NPI

Lynwood Developmental Care, Inc

  • Developmentally Disabled Services Day Training Agency
  • Lynwood, CA
National Provider Identifier
1679794192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LYNWOOD DEVELOPMENTAL CARE, INC
Practice address
3263 Flower St
Lynwood, CA 90262-4226
Phone
(310) 632-1664
Fax
(310) 223-5921
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
La Vern L. Neal
Title
Chief Operating Officer
Phone
(310) 223-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X CA Primary

Addresses

Primary practice location

3263 Flower St
Lynwood, CA 90262-4226

Mailing address

14925 S Atlantic Ave
Compton, CA 90221-3005
Phone (310) 223-5920

Other names 1

  • Fairview House Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G924

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FAIRVIEW HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 3, 1995
Last certification
Nov 26, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
3263 Flower Street
Lynwood, CA 90262

National Provider Directory

National Provider Directory
Tax ID family
Lynwood Developmental Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

14925 S Atlantic Ave
East Rancho Dominguez, CA 90221
Phone (310) 223-5920

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679794192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14925 S ATLANTIC AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213005",
            "telephone_number": "310-223-5920",
            "fax_number": "310-223-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 FLOWER ST",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624226",
            "telephone_number": "310-632-1664",
            "fax_number": "310-223-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNWOOD DEVELOPMENTAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "LA VERN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "310-223-5920"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.