Active NPI
La Casa
- Intellectual Disabilities Intermediate Care Facility
- Gardena, CA
National Provider Identifier
1932317146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 960001099
- Legal business name
- LA CASA
- Practice address
- 15333 Daphne Ave
Gardena, CA 90249-4123 - Phone
- (310) 327-7798
- Fax
- (310) 327-7715
- NPI assigned
- May 19, 2007
- Last updated
- Jun 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juliet Daniels
- Title
- Licensee
- Phone
- (310) 266-7380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 960001099 | CA | Primary |
Addresses
Primary practice location
15333 Daphne Ave
Gardena, CA 90249-4123
Mailing address
PO Box 513745
Los Angeles, CA 90051-1745
Phone (310) 266-7380
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1932317146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 513745",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900511745",
"telephone_number": "310-266-7380",
"fax_number": "310-327-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15333 DAPHNE AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494123",
"telephone_number": "310-327-7798",
"fax_number": "310-327-7715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA CASA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-19",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "JULIET",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "310-266-7380"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": "960001099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.