M & M Guest Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

306004185 Issued in CA

Legal business name

M & M GUEST HOME LLC

Practice address

1598 W Orangewood Ave
Anaheim, CA 92802-3919

Phone

(714) 638-8430

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Sinobago Carbajal

Title

Administrator

Phone

(714) 468-2031

Specialties & licenses 1

Addresses

Other names 1

• mmguesthome Doing business as

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1730493487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 W ORANGEWOOD AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023919",
            "telephone_number": "714-638-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 W ORANGEWOOD AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023919",
            "telephone_number": "714-638-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M GUEST HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "CARBAJAL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SINOBAGO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-468-2031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "306004185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mmguesthome",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Lynes, LMFT
• Joanne Glory Lynn, LCSW
• David A. Lyon, DO
• Adam Lyons
• Lawrence Gerard Lyons, PHD
• M. Rajudin, M.D., Inc.
• M&S Guesthomes, Inc.
• Vincent Ma
• Vivian T. Ma, M.S.
• Paynepualena Kahakulani Leimomi Ma'Ae

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.