DAVID & MARGARET HOME, INC. (NPI# 1407917784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407917784 |
| Entity Type | Organization |
| Organization Name | DAVID & MARGARET HOME, INC. |
| Other Organization Name | DAVID & MARGARET HOME, INC. |
| Practice Address |
1350 3rd St La Verne CA 91750-5201 |
| Practice Telephone | 9095965921 |
| Practice Fax Number | 9095963954 |
| Mailing Telephone | 9095965921 |
| Mailing Fax Number | 9095963954 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | MR. CHARLES RICH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9095965921 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7566A | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 01227 | 05 |
| Other Name | Type Code |
|---|---|
| David & Margaret Home, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922444959 | David & Margaret Home, Inc. | Community/Behavioral Health | 1264 N San Dimas Canyon Rd, San Dimas, CA 91773-1223 | 2013-05-16 |
| Street Address |
1350 3RD ST |
| City | LA VERNE |
| State | CA |
| Zip Code | 91750-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467530998 | Marissa Soria | Counselor | 1350 3rd St, La Verne, CA 91750-5201 | 2006-11-01 |
| 1588276018 | Itzayana Tello Gallegos | Student in an Organized Health Care Education/Training Program | 1350 3rd St, La Verne, CA 91750-5201 | 2020-08-17 |
| 1649801739 | Lesley Louise Fisher | Marriage & Family Therapist | 1350 3rd St, La Verne, CA 91750-5201 | 2020-01-28 |
| 1780235259 | Danielle Lujan | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5201 | 2019-09-25 |
| 1407407976 | Augrea Elena Garcia-leal | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5201 | 2019-09-25 |
| 1508417528 | Lacresha Shunae Scott | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5299 | 2019-09-20 |
| 1346890506 | Juan Ignacio Gomez | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5299 | 2019-09-18 |
| 1164072328 | Nguyen Tran | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5299 | 2019-09-18 |
| 1609426865 | Estefania Mendoza | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5299 | 2019-09-18 |
| 1336799592 | Nola Jones | Case Manager/Care Coordinator | 1350 3rd St, La Verne, CA 91750-5201 | 2019-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893324 | Alexis Ashley Andom | Occupational Therapist | 2061 Wright Ave., La Verne, CA 91750 | 2020-02-19 |
| 1952810855 | Wendy P Marrufo | Physical Therapist | 2590 Hayes Drive, La Verne, CA 91750 | 2017-09-22 |
| 1770006009 | Lineth Fiorella Florian | Family Medicine | 2333 Foothill Blvd, La Verne, CA 91750 | 2017-07-18 |
| 1205204765 | Heather Amanda Jantz Garcia | Specialist | 2061 Wright Avenue, Suite A-7, La Verne, CA 91750 | 2015-09-14 |
| 1255779864 | Carla Ureno | Counselor | 911 Herbine Street, La Verne, CA 91750 | 2013-06-06 |
| 1538459011 | Sameer K Hassamal | Psychiatry & Neurology | 4201 Hartshorn Ranch Pl, La Verne, CA 91750 | 2011-04-18 |
| 1134351695 | Robin Lorinne Clarkson | Physical Therapist | 2125 Wright Avenue, Ste C1, La Verne, CA 91750 | 2009-08-18 |
| 1477784767 | Sb Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 781 Canyon View Dr, Laverne, CA 91750 | 2009-08-04 |
| 1295978872 | Vi Hung Ly | Chiropractor | 1145 Foothill Blvd., La Verne, CA 91750 | 2009-04-13 |
| 1700906138 | Laura Nazaryan | Physical Therapist | 2123 Foothill Blvd Ste D, La Verne, CA 91750 | 2007-03-30 |
| Find all providers in zip 91750 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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|---|---|---|---|---|
| 1285280289 | Wayfinder Family Services | Community/Behavioral Health | 1035 Bonita Ave, La Verne, CA 91750-5109 | 2019-08-15 |
| 1831457761 | Our Family Comes First, LLC | Community/Behavioral Health | 2050 Bonita Ave, Ste C, La Verne, CA 91750-4441 | 2012-04-28 |
| 1770975013 | Youtherapy Psychological Services, Inc. | Community/Behavioral Health | 2187 Foothill Blvd, Suite B, La Verne, CA 91750-2943 | 2015-02-24 |
| 1851642193 | Haynes Family of Programs | Community/Behavioral Health | 1025 Sentinel Dr, Suites 200 & 206, La Verne, CA 91750-3280 | 2012-09-26 |
| 1578823225 | Ideal Care & Health Services Inc | Community/Behavioral Health | 6601 Stephens Ranch Rd, La Verne, CA 91750-1146 | 2012-05-29 |
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| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
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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.