Organization Active NPI

Our House Theatrical Living & Learning Center

  • Adult Day Care Clinic/Center
  • Carson, CA
National Provider Identifier
1932344777
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
BUS.PERMIT NO.62287A Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
198600661OtherCAFACILITY #

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.