NPIMap

Organization Active NPI

David & Margaret Home, Inc.

  • Community/Behavioral Health Agency
  • San Dimas, CA
National Provider Identifier
1922444959
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7895 Issued in CA
Legal business name
DAVID & MARGARET HOME, INC.
Practice address
1264 N San Dimas Canyon Rd
San Dimas, CA 91773-1223
Phone
(909) 480-8900
Fax
(909) 599-1329
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Mr. Charles Rich, LCSW
Title
Executive Director
Phone
(909) 596-5921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7895 CA Primary

Addresses

Primary practice location

1264 N San Dimas Canyon Rd
San Dimas, CA 91773-1223

Mailing address

1350 3Rd St
La Verne, CA 91750-5201
Phone (909) 596-5921

Other identifiers 1

IdentifierTypeStateIssuer
01227MedicaidCA

Other names 1

  • David & Margaret Home, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Margaret Home Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1264 N San Dimas Canyon Rd
San Dimas, CA 91773
Phone (909) 480-8900

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1922444959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 3RD ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505201",
            "telephone_number": "909-596-5921",
            "fax_number": "909-596-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 N SAN DIMAS CANYON RD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731223",
            "telephone_number": "909-480-8900",
            "fax_number": "909-599-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID & MARGARET HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-596-5921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "7895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01227",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David & Margaret Home, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.