Organization Active NPI

Joyce Marie Home, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Los Angeles, CA
National Provider Identifier
1992913107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
JOYCE MARIE HOME, INC
Practice address
2839 S Holt Ave
Los Angeles, CA 90034-2510
Phone
(310) 391-1920
Fax
(310) 390-3278
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Augusto David
Title
Licensee
Phone
(310) 391-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

2839 S Holt Ave
Los Angeles, CA 90034-2510

Mailing address

11500 Palms Blvd
Los Angeles, CA 90066-2106
Phone (310) 391-1920

National Provider Directory

National Provider Directory

NPI 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": "1598054400000",
    "number": "1992913107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 PALMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662106",
            "telephone_number": "310-391-1920",
            "fax_number": "310-390-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 S HOLT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342510",
            "telephone_number": "310-391-1920",
            "fax_number": "310-390-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYCE MARIE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "AUGUSTO",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "310-391-1920"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.