Organization Active NPI

Peters Family Home

  • Assisted Living Facility
  • Carson, CA
National Provider Identifier
1821837634
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PETERS FAMILY HOME
Practice address
427 E Javelin St
Carson, CA 90745-1335
Phone
(323) 481-8771
NPI assigned
May 21, 2024
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Jadesha Peters
Title
Licensee
Phone
(323) 481-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

427 E Javelin St
Carson, CA 90745-1335

Mailing address

427 E Javelin St
Carson, CA 90745-1335
Phone (323) 481-8771

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1821837634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E JAVELIN ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451335",
            "telephone_number": "323-481-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E JAVELIN ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451335",
            "telephone_number": "323-481-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JADESHA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "323-481-8771"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.