Lena's House

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

070000648 Issued in CA

Legal business name

LENA'S HOUSE

Practice address

1075 Meridian St
Hollister, CA 95023-4144

Phone

(831) 638-2137

NPI assigned

Mar 3, 2007

Last updated

Apr 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eugene Anatol Kondrakhin

Title

Administrator

Phone

(831) 578-2217

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1932238383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 OLGA DR.",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-578-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 MERIDIAN ST",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234144",
            "telephone_number": "831-638-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENA'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "KONDRAKHIN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "ANATOL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "831-578-2217"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "070000648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diep H Le, DDS
• Khoi Le
• Thao Thanhngoc Le
• Julissa Desiree Leggett
• Sandra Leifheit
• Jesus M Leon, MD
• Kristian Lerma, RDHAP
• Anna Marie Lewellen, MPT
• Miguel Alcantar Leyva
• Ruby Leyva, MFT

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

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