NPIMap

Organization Active NPI

Caridean, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Los Angeles, CA
National Provider Identifier
1700094919
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
960000944 Issued in CA
Legal business name
CARIDEAN, INC.
Practice address
8630 Rayford Dr
Los Angeles, CA 90045-3512
Phone
(323) 779-2051
Fax
(323) 779-3615
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Carrie Griffis
Title
Licensee
Phone
(323) 770-2051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 960000944 CA Primary

Addresses

Primary practice location

8630 Rayford Dr
Los Angeles, CA 90045-3512

Mailing address

1948 Thoreau St
Los Angeles, CA 90047-4725
Phone (323) 770-2051

Other names 1

  • Kole's Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caridean 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.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1700094919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 THOREAU ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474725",
            "telephone_number": "323-770-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 RAYFORD DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453512",
            "telephone_number": "323-779-2051",
            "fax_number": "323-779-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIDEAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "GRIFFIS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "323-770-2051"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960000944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kole's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.