D&D MANOR INC. NPI 1205099942

NPI Information

  • NPI: 1205099942
  • Provider Name: D&D MANOR INC.
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: JKC HOME
  • Address: 15561 ASHGORVE DRIVE
    LA MIRADA, CA
    ZIP 90638
  • Phone: (714) 994-3497

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NPI Details

D&D MANOR INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in La Mirada, CA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. D&D MANOR INC. NPI is 1205099942. The provider is registered as an organization entity type.
The provider Is Doing Business As Jkc Home.

The provider's business location address is:

15561 ASHGORVE DRIVE
LA MIRADA, CA
ZIP 90638
Phone: (714) 994-3497

The provider's authorized official is Domingo Bermudez Abarquez .
The authorized official title is President and has the following contact phone number (562) 866-3324.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 7/2/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities306003493CALIFORNIAYes

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: 11/21/2025

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