Mt. Sinai Guest Home

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

198601075 Issued in CA

Legal business name

MT. SINAI GUEST HOME

Practice address

1800 12TH Ave
Los Angeles, CA 90019-6023

Phone

(323) 734-1705

Fax

(323) 732-3411

NPI assigned

Jun 6, 2008

Last updated

Jun 6, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

YESAs reported in NPPES

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

Authorized official

Name

Ms. Geraldine De Cohen

Title

Administrator

Phone

(323) 731-0026

Specialties & licenses 1

Addresses

Other names 1

• Mt. Sinai Residential Home Other name

Part of

Mt Sinai Guest Home

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1831358522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 12TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196023",
            "telephone_number": "323-734-1705",
            "fax_number": "323-732-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 12TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196023",
            "telephone_number": "323-734-1705",
            "fax_number": "323-732-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. SINAI GUEST HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "DE COHEN",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-731-0026",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CA",
            "license": "198601075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Sinai Residential Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Developmental Disabilities Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Developmental Disabilities Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.