Active NPI
Our House Theatrical Living & Learning Center
- Adult Day Care Clinic/Center
- Carson, CA
National Provider Identifier
1932344777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- BUS.PERMIT NO.62287A
- Legal business name
- OUR HOUSE THEATRICAL LIVING & LEARNING CENTER
- Practice address
- 1132 E. Dominguez St.
Suite B & C
Carson, CA 90746 - Phone
- (310) 763-4998
- Fax
- (310) 886-3064
- NPI assigned
- Dec 9, 2008
- Last updated
- Dec 9, 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
- Barbara W. Shalwan
- Title
- President-C.E.O.- Director
- Phone
- (310) 763-4998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | BUS.PERMIT NO.62287A | CA | Primary |
Addresses
Primary practice location
1132 E. Dominguez St.
Suite B & C
Carson, CA 90746
Mailing address
1132 E. Dominguez St.
Suite B & C
Carson, CA 90746
Phone (310) 763-4998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198600661 | Other | CA | FACILITY # |
National Provider Directory
National Provider DirectoryLocations
1132 E Dominguez St
Ste B
Carson, CA 90746
Phone (310) 763-4998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228780800000",
"number": "1932344777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 E. DOMINGUEZ ST.",
"address_2": "SUITE B & C",
"city": "CARSON",
"state": "CA",
"postal_code": "90746",
"telephone_number": "310-763-4998",
"fax_number": "310-886-3064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 E. DOMINGUEZ ST.",
"address_2": "SUITE B & C",
"city": "CARSON",
"state": "CA",
"postal_code": "90746",
"telephone_number": "310-763-4998",
"fax_number": "310-886-3064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR HOUSE THEATRICAL LIVING & LEARNING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-09",
"last_updated": "2008-12-09",
"status": "A",
"authorized_official_last_name": "SHALWAN",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT-C.E.O.- DIRECTOR",
"authorized_official_telephone_number": "310-763-4998"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": "BUS.PERMIT NO.62287A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY #",
"identifier": "198600661",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.