Lavender Rise Homes LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

LAVENDER RISE HOMES LLC

Doing business as

Lavender Rise Homes LLC

Practice address

10713 Mountain View Ave
Loma Linda, CA 92354-2519

Phone

(310) 968-5849

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Octavia BrownNPI 1518519206

Title

Ceo

Phone

(310) 968-5849

Specialties & licenses 1

Addresses

Other names 1

• Lavender Rise Homes LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Octavia L Brown

  • Addiction (Substance Use Disorder) Counselor
  • Lancaster, CA
  • NPI 1518519206
  NPD Authorized official

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1851042444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1361",
            "city": "LITTLEROCK",
            "state": "CA",
            "postal_code": "935435361",
            "telephone_number": "310-968-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10713 MOUNTAIN VIEW AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542519",
            "telephone_number": "310-968-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER RISE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-968-5849"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lavender Rise Homes LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andreas Ling-Fung Lau, DO
• Kathleen M Lau, M.D.
• Ryan Lauer, M.D.
• Laurel a. Munson MD, Professional Corporation
• Laurel Munson MD PC & Karen Gaio Hansberger MD a Ca Medical Partnershi
• Adrian P Lavery, M.D, MPH
• Shokry Nabeel Lawandy, D.O.
• Ria Angelica Tan Laxa, MD
• Maureen Le Danseur, RN, CNS
• Amy Le, DO

• Intellectual Disabilities Intermediate Care Facility in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.