GENMAR HOMES INC. NPI 1710334487

NPI Information

NPI: 1710334487
Provider Name: GENMAR HOMES, INC.

Doing Business As: THOREAU HOUSE I

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

Address:
1942 THOREAU ST
LOS ANGELES, CA
ZIP 90047
Phone: (323) 755-7105
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GENMAR HOMES, INC. is an intermediate care facility mentally retarded in Los Angeles, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GENMAR HOMES, INC. NPI is 1710334487. The provider is registered as an organization entity type.
The provider Is Doing Business As Thoreau House I.

The provider's business location address is:

1942 THOREAU ST
LOS ANGELES, CA
ZIP 90047-725
Phone: (323) 755-7105
Fax: (323) 755-7106

The provider's authorized official is Eugene Hardin .
The authorized official title is President/ceo and has the following contact phone number (310) 739-3585.

The CLIA number assigned to this NPI record is 05D2150310 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2016 and was last updated on 5/23/2016.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		00000	CALIFORNIA	Yes

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

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