MARIE'S PRIVATE QUARTERS (NPI# 1447468657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447468657 |
| Entity Type | Organization |
| Organization Name | MARIE'S PRIVATE QUARTERS |
| Practice Address |
2512 W 134th Pl Gardena CA 90249-1646 |
| Practice Telephone | 3105324288 |
| Practice Fax Number | 3105326204 |
| Mailing Telephone | 3105324288 |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NELMA MARIE MITCHELL (LICENSEE) |
| Authorized Official Telephone | 3105324288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
| Street Address |
2512 W 134TH PL |
| City | GARDENA |
| State | CA |
| Zip Code | 90249-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518085 | Jin Taek Limb | Chiropractor | 2911 W 135th Pl, Gardena, CA 90249 | 2017-06-20 |
| 1083084651 | Charde Antoinette | Home Health | 2923 W 138th, Gardena, CA 90249 | 2015-09-25 |
| 1316330145 | Lupita Martinez | Marriage & Family Therapist | 15120 Atkinson Ave Ste 7, Gardena, CA 90249 | 2015-03-18 |
| 1699100487 | Asian American Drug Abuse Program, Inc | Community/Behavioral Health | 14112 S. Kingsley Dr., Gardena, CA 90249 | 2013-09-11 |
| 1992142327 | Vin'ash Coaching, LLC | Private Vehicle | 3163 W 154th Place, Gardena, CA 90249 | 2013-05-24 |
| 1811287048 | Best-option Home Health Agency Inc. | Home Health | 15223 S Crenshaw Blvd Suite A, Gardena, CA 90249 | 2011-04-08 |
| 1356644439 | Ameripride Ambulance Service, Inc. | Ambulance | 13509 South Raymond Avenue, Gardena, CA 90249 | 2010-12-13 |
| 1164732327 | Ctc Healthcare Services Inc | In Home Supportive Care | 13108 Arcturus Avenue, Gardena, CA 90249 | 2010-10-20 |
| 1407170996 | Marl Soon Chung | Dentist | 15622 S. Crenshaw Blvd #b, Gardena, CA 90249 | 2010-03-26 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| Find all providers in zip 90249 | ||||
| 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 |
|---|---|---|---|---|
| 1043456809 | Fomby Rose Corporation | Intermediate Care Facility, Mentally Retarded | 522 E 157th St, Gardena, CA 90248-2517 | 2008-12-29 |
| 1942464623 | Loop Care Inc | Intermediate Care Facility, Mentally Retarded | 1135 W 161st St, Gardena, CA 90247-4415 | 2008-07-11 |
| 1245405026 | Loop Care, Inc. | Intermediate Care Facility, Mentally Retarded | 16532 S Hoover St, Gardena, CA 90247-5026 | 2008-04-23 |
| 1205010824 | Tita De Guzman Insurance Agency | Intermediate Care Facility, Mentally Retarded | 15319 Spinning Ave, Gardena, CA 90249-4143 | 2007-12-18 |
| 1598973703 | R & D Home Care, Inc. - Golden Care Home | Intermediate Care Facility, Mentally Retarded | 507 W 157th St, Gardena, CA 90248-2108 | 2007-05-19 |
| 1730397944 | Daniel's Home Care | Intermediate Care Facility, Mentally Retarded | 1117 W 164th St, Gardena, CA 90247-4802 | 2007-05-19 |
| 1932317146 | La Casa | Intermediate Care Facility, Mentally Retarded | 15333 Daphne Ave, Gardena, CA 90249-4123 | 2007-05-19 |
| 1770791980 | R & D Home Care, Inc. - | Intermediate Care Facility, Mentally Retarded | 16221 S Menlo Ave, Gardena, CA 90247-4929 | 2007-05-19 |
| 1659589869 | Dalton Avenue Homes, Inc. - Loop II | Intermediate Care Facility, Mentally Retarded | 15918 S Dalton Ave, Gardena, CA 90247-3908 | 2007-05-19 |
| 1538377742 | Mvm Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 16230 S Orchard Ave, Gardena, CA 90247-5034 | 2007-05-19 |
| Find all providers in GARDENA | ||||
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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.