NPIMap

Organization Active NPI

St. Joseph Center Homeless Service

  • Case Management Agency
  • Venice, CA
National Provider Identifier
1740424183
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ST. JOSEPH CENTER HOMELESS SERVICE
Practice address
404 Lincoln Blvd
Venice, CA 90291-2829
Phone
(310) 399-6878
Fax
(310) 399-1339
NPI assigned
Apr 29, 2009
Organization subpart
Yes
Parent organization
ST. JOSEPH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Nick Maiorino
Title
Associate Director
Phone
(310) 396-6468

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

404 Lincoln Blvd
Venice, CA 90291-2829

Mailing address

404 Lincoln Blvd
Venice, CA 90291-2829
Phone (310) 399-6878

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Center5 organizations share this tax ID, including this one
Part of
St Joseph Center

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

404 Lincoln Blvd
Venice, CA 90291
Phone (310) 399-6878

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": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1740424183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LINCOLN BLVD",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912829",
            "telephone_number": "310-399-6878",
            "fax_number": "310-399-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LINCOLN BLVD",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912829",
            "telephone_number": "310-399-6878",
            "fax_number": "310-399-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH CENTER HOMELESS SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPH CENTER",
        "enumeration_date": "2009-04-29",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "MAIORINO",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "310-396-6468"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.