NPIMap

Organization Active NPI

Our House Residential Care, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Madera, CA
National Provider Identifier
1699874412
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
OUR HOUSE RESIDENTIAL CARE, INC
Practice address
109 E Central Ave
Madera, CA 93638-3109
Phone
(559) 674-8670
Fax
(559) 673-4825
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Dana Dawn Lennemann
Title
Vice President of Operations
Phone
(559) 674-8670

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X LTC80042F CA
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

109 E Central Ave
Madera, CA 93638-3109

Mailing address

500 S D St
Madera, CA 93638-3857
Phone (559) 673-1922

National Provider Directory

National Provider Directory
Tax ID family
Our House Residential Care Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1699874412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S D ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383857",
            "telephone_number": "559-673-1922",
            "fax_number": "559-673-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E CENTRAL AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383109",
            "telephone_number": "559-674-8670",
            "fax_number": "559-673-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE RESIDENTIAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "LENNEMANN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "559-674-8670"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "LTC80042F",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.