Provider Type Icon

DAVID AND MARGARET HOME INC. NPI 1255879417


NPI Information

NPI: 1255879417
Provider Name: DAVID AND MARGARET HOME, INC.

Other Name: DAVID AND MARGARET STRTP

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1350 3RD ST
LA VERNE, CA
ZIP 91750
Phone: (909) 596-5921
Get Directions

DAVID AND MARGARET HOME, INC. is a residential treatment facility emotionally disturbed children in La Verne, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. DAVID AND MARGARET HOME, INC. NPI is 1255879417. The provider is registered as an organization entity type.
The provider Other Name Is David And Margaret Strtp.

The provider's business location address is:

1350 3RD ST
LA VERNE, CA
ZIP 91750-201
Phone: (909) 596-5921
Fax: (909) 596-7583

The provider's authorized official is Charles Rich .
The authorized official title is Executive Director and has the following contact phone number (909) 596-5921.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 2/16/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children191500192CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101227MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.