Organization Active NPI

Lourdes Cullum House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Richland, WA
National Provider Identifier
1700475886
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LOURDES CULLUM HOUSE
Practice address
208 Cullum Ave
Richland, WA 99352-4534
Phone
(509) 947-6055
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Rosa GarciaNPI 1417542051
Title
Residential Counselor
Phone
(509) 761-2081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

208 Cullum Ave
Richland, WA 99352-4534

Mailing address

3523 W Hood Ave Apt A104
Kennewick, WA 99336-2782
Phone (509) 761-2081

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rosa.garcia@lourdesonline.org

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1700475886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 W HOOD AVE APT A104",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362782",
            "telephone_number": "509-761-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CULLUM AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524534",
            "telephone_number": "509-947-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES CULLUM HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "RESIDENTIAL COUNSELOR",
        "authorized_official_telephone_number": "509-761-2081"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rosa.garcia@lourdesonline.org",
            "affiliation": "N",
            "address_1": "208 Cullum Ave",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.