Deboer Homes, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

120000649 Issued in CA

Legal business name

DEBOER HOMES, INC

Practice address

1371 San Lucia Ave
Porterville, CA 93257-7000

Phone

(559) 791-9481

Fax

(559) 781-8336

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Breann Deboer

Title

Licensee

Phone

(559) 350-3695

Specialties & licenses 1

Addresses

Tax ID family

Deboer Homes Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Deboer Homes, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Porterville, CA
  • NPI 1528317005
  NPD tax ID

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1831449982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W ORANGE AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932577305",
            "telephone_number": "559-781-8336",
            "fax_number": "559-781-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 SAN LUCIA AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932577000",
            "telephone_number": "559-791-9481",
            "fax_number": "559-781-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBOER HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "DEBOER",
        "authorized_official_first_name": "BREANN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "559-350-3695"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "120000649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Rani Davis, RDHAP
• Gabriel Davoodpour
• Deboer Home
• Deboer Home #2
• Deboer Homes, Inc
• Deepika Wali, M.D., Inc.
• Carlos-Miguel Del Portillo, CRNA
• Israel Delgado
• Patricia Ann Delima, MD
• Tina Teresa Delussa, LVN

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Porterville, CA
• Providers in Porterville, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.