NPIMap

Organization Active NPI

Deliann-Lucile

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Culver City, CA
National Provider Identifier
1730623547
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
DELIANN-LUCILE
Practice address
5800 Hannum Ave Ste A230
Culver City, CA 90230-6560
Phone
(310) 215-8900
Fax
(310) 215-8907
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Mary Davis
Title
Ceo/Founder
Phone
(310) 215-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

5800 Hannum Ave Ste A230
Culver City, CA 90230-6560

Mailing address

5800A Hannum Avenue Suit 230
Culver City, CA 90230
Phone (310) 215-8900

Other names 1

  • Corporate Office Other name

National Provider Directory

National Provider Directory
Tax ID family
Deliann-Lucile Corporation7 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.

Locations

5800 Hannum Ave
Ste A230
Culver City, CA 90230
Phone (310) 215-8900

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1730623547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800A HANNUM AVENUE SUIT 230",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90230",
            "telephone_number": "310-215-8900",
            "fax_number": "310-215-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HANNUM AVE STE A230",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306560",
            "telephone_number": "310-215-8900",
            "fax_number": "310-215-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIANN-LUCILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "310-215-8900"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corporate Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.