NPIMap

Organization Active NPI

Deliann-Lucile Corporation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Los Angeles, CA
National Provider Identifier
1982147922
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
DELIANN-LUCILE CORPORATION
Practice address
2122 W 107TH St
Los Angeles, CA 90047-4305
Phone
(323) 696-9749
Fax
(323) 696-9508
NPI assigned
Nov 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Mary L Davis
Title
Ceo
Phone
(310) 215-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

2122 W 107TH St
Los Angeles, CA 90047-4305

Mailing address

5731 W Slauson Ave Ste 210
Culver City, CA 90230-6982
Phone (310) 215-8900

Other names 1

  • DeliLu Achievement Home 2 Other name

National Provider Directory

National Provider Directory
Tax ID family
Deliann-Lucile Corporation7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

5731 W Slauson Ave
Ste 210
Los Angeles, CA 90230
Phone (310) 215-8900

Practitioners & affiliated clinicians

Practitioners 6

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": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1982147922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 W SLAUSON AVE STE 210",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306982",
            "telephone_number": "310-215-8900",
            "fax_number": "310-215-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 W 107TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474305",
            "telephone_number": "323-696-9749",
            "fax_number": "323-696-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIANN-LUCILE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-215-8900"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeliLu Achievement Home 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.