Active NPI
Thomas House Temporary Shelter
- Voluntary or Charitable Agency
- Garden Grove, CA
National Provider Identifier
1740918846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- THOMAS HOUSE TEMPORARY SHELTER
- Practice address
- 12601 Morningside Ave Apt 6
Garden Grove, CA 92843-4517 - Phone
- (714) 554-0357
- NPI assigned
- Aug 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shakoya Denisha Green Long, ACSW
- Title
- Executive Director
- Phone
- (951) 238-0920
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
12601 Morningside Ave Apt 6
Garden Grove, CA 92843-4517
Mailing address
PO Box 2737
Garden Grove, CA 92842-2737
Phone (714) 554-0357
Other names 1
- Thomas House Family Shelter
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Carson, CA
- NPI 1114355591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660867200000",
"number": "1740918846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2737",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928422737",
"telephone_number": "714-554-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12601 MORNINGSIDE AVE APT 6",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434517",
"telephone_number": "714-554-0357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS HOUSE TEMPORARY SHELTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A",
"authorized_official_last_name": "GREEN LONG",
"authorized_official_first_name": "SHAKOYA",
"authorized_official_middle_name": "DENISHA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "951-238-0920",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ACSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Thomas House Family Shelter",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Thomas House Family Shelter",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.