CARIDEAN, INC. (NPI# 1063621126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063621126 |
| Entity Type | Organization |
| Organization Name | CARIDEAN, INC. |
| Other Organization Name | WOOD RIVA PLACE |
| Practice Address |
1942 Thoreau St Los Angeles CA 90047-4725 |
| Mailing Address |
1948 Thoreau St Los Angeles CA 90047-4725 |
| Practice Telephone | 3237565138 |
| Practice Fax Number | 3237793615 |
| Mailing Telephone | 3237702051 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | CARRIE GRIFFIS (LICENSEE) |
| Authorized Official Telephone | 3237702051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 960000880 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Wood Riva Place | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700094919 | Caridean, Inc. | Intermediate Care Facility, Mentally Retarded | 8630 Rayford Dr, Los Angeles, CA 90045-3512 | 2007-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CARIDEAN, INC. | 217 Pine St Ste 700, Seattle, WA 98101-1520 |
| Street Address |
1942 THOREAU ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90047-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710334487 | Genmar Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 1942 Thoreau St, Los Angeles, CA 90047-4725 | 2016-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1750805222 | Brian George Martinez | Counselor | 1448 W 83rd St, Los Angeles, CA 90047 | 2017-07-27 |
| 1295266609 | Maria Amezcua | Rehabilitation Practitioner | 108 W Victoria Street, Gardena, CA 90047 | 2017-03-27 |
| 1265861140 | Ameika Porter | Counselor | 1529 West 82nd Street, Los Angeles, CA 90047 | 2013-11-01 |
| 1053747519 | Maria D Macias | Counselor | 11601 S. Western Avenue, Los Angeles, CA 90047 | 2013-09-16 |
| 1366704132 | Evelyn Carolina Hernandez | Family Medicine | 1555 West 110th Street, Los Angeles, CA 90047 | 2012-06-08 |
| 1003057142 | Sandra Patricia Trim | Licensed Vocational Nurse | 2048 W 69 St, Los Angeles, CA 90047 | 2009-03-19 |
| 1194962001 | Estuardo Ardon | Counselor | 11603 S. Western Ave., Los Angeles, CA 90047 | 2009-01-14 |
| 1174788400 | Frenda Brigette Williams | Dentist | 2015 W 81st St, Los Angeles, CA 90047 | 2008-07-25 |
| Find all providers in zip 90047 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427322304 | Model Residential Home, Inc. | Intermediate Care Facility, Mentally Retarded | 1621 Linda Rosa Ave, Los Angeles, CA 90041-2225 | 2012-02-24 |
| 1356619019 | Model Residential Home, Inc. | Intermediate Care Facility, Mentally Retarded | 5129 Loleta Ave, Los Angeles, CA 90041-1501 | 2011-12-09 |
| 1417121310 | Temple Garden Homes for The Developmentally Disabled, Inc | Intermediate Care Facility, Mentally Retarded | 4675 York Blvd, Los Angeles, CA 90041-3342 | 2008-04-22 |
| 1174731384 | Caridean Place | Intermediate Care Facility, Mentally Retarded | 1948 Thoreau St, Los Angeles, CA 90047-4725 | 2007-05-19 |
| 1992913107 | Joyce Marie Home, Inc | Intermediate Care Facility, Mentally Retarded | 2839 S Holt Ave, Los Angeles, CA 90034-2510 | 2007-05-19 |
| 1346458569 | Jasmine Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3846 Chanson Dr, Los Angeles, CA 90043-1602 | 2007-05-19 |
| 1700094919 | Caridean, Inc. | Intermediate Care Facility, Mentally Retarded | 8630 Rayford Dr, Los Angeles, CA 90045-3512 | 2007-05-19 |
| 1073721288 | Model Residential Home, Inc | Intermediate Care Facility, Mentally Retarded | 2227 Laverna Ave, Los Angeles, CA 90041-2624 | 2007-05-19 |
| 1528276730 | Ebora Guest Home | Intermediate Care Facility, Mentally Retarded | 355 S Kingsley Dr, Los Angeles, CA 90020-3409 | 2007-05-19 |
| 1679788566 | J-j Qual Care Home | Intermediate Care Facility, Mentally Retarded | 1306 S Hudson Ave, Los Angeles, CA 90019-3013 | 2007-05-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90047 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.