NPIMap

Organization Active NPI

Our House Residential Care, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Madera, CA
National Provider Identifier
1720144744
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
2816 Westgate Dr
Madera, CA 93637-4159
Phone
(559) 661-8961
Fax
(559) 673-4825
NPI assigned
Dec 28, 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 Operations
Phone
(559) 674-8670

Specialties & licenses 1

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

Addresses

Primary practice location

2816 Westgate Dr
Madera, CA 93637-4159

Mailing address

109 E Central Ave
Madera, CA 93638-3109
Phone (559) 674-8670

Other names 2

  • Our House - Westgate Doing business as
  • Our House Westgate 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
05D2294356Our House-Westgate2816 Westgate Drive, Madera, CA 93637Certificate of waiverNov 21, 2027

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1720144744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 WESTGATE DR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374159",
            "telephone_number": "559-661-8961",
            "fax_number": "559-673-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE RESIDENTIAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "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 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 - Westgate",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Our House Westgate",
            "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.