NPIMap

Organization Active NPI

Our House Residential Care, Inc

Doing business as Our House Berry

  • Intellectual Disabilities Intermediate Care Facility
  • Madera, CA
National Provider Identifier
1700941267
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
Doing business as
Our House Berry
Practice address
100 Berry Dr
Madera, CA 93637-4111
Phone
(559) 673-1922
Fax
(559) 673-4825
NPI assigned
Dec 26, 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
VP of Operations
Phone
(559) 674-8670

Specialties & licenses 1

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

Addresses

Primary practice location

100 Berry Dr
Madera, CA 93637-4111

Mailing address

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

Other names 1

  • Our House Berry Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0969802Our House-Berry100 Berry Dr, Madera, CA 93637Certificate of waiverJan 25, 2028

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1700941267",
    "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": "100 BERRY DR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374111",
            "telephone_number": "559-673-1922",
            "fax_number": "559-673-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE RESIDENTIAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "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": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "559-674-8670"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our House Berry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.