Laurel House Icf

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

LAUREL HOUSE ICF

Practice address

226 N Laurel Ave
Upland, CA 91786-5936

Phone

(951) 545-4462

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Kathleen Janet Haywood

Title

President

Phone

(951) 545-4462

Specialties & licenses 1

Addresses

Other names 1

• Laurel House Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1831722255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 W 9TH ST STE B1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865699",
            "telephone_number": "951-545-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N LAUREL AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865936",
            "telephone_number": "951-545-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HOUSE ICF",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "JANET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-545-4462"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Upland",
            "affiliation": "N",
            "address_1": "226 N Laurel Ave",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917865936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Laurel House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Marie Larrew, DDS
• Heidi Noel Larson, RN, MSN, FNP-C.
• Pui Tan Lau, MS, RDN
• Tracy Lau, PHARMD
• Tse Ling Lau
• Kathleen A Laurel, P.A.-C.
• Cathy A. Law, D.D.S.
• Donna Jean Lawrence-Curry, RN CCP
• Jessica Lawrence
• Sharleen Lawrence, L.AC.

• Nursing Facility/Intermediate Care Facility in Upland, CA
• Providers in Upland, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.