Organization Active NPI

My Abc Enterprises, LLC

  • Developmentally Disabled Services Day Training Agency
  • Fullerton, CA
National Provider Identifier
1992468854
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MY ABC ENTERPRISES, LLC
Practice address
1735 W Fern Dr
Fullerton, CA 92833-2334
Phone
(714) 814-8149
Fax
(714) 582-2538
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Lenette Loreto Belen
Title
Ceo
Phone
(714) 814-8149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1735 W Fern Dr
Fullerton, CA 92833-2334

Mailing address

1735 W Fern Dr
Fullerton, CA 92833-2334
Phone (714) 814-8149

Other names 1

  • Somerset Homes Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1992468854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 W FERN DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332334",
            "telephone_number": "714-814-8149",
            "fax_number": "714-582-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 W FERN DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332334",
            "telephone_number": "714-814-8149",
            "fax_number": "714-582-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ABC ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "BELEN",
        "authorized_official_first_name": "LENETTE",
        "authorized_official_middle_name": "LORETO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-814-8149"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerset Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.