DEODRA BROADNAX


Address: 1451 Marine Ave Apt D, Gardena, CA 90247-3331
Phone: 3109910023

DEODRA BROADNAX (NPI# 1548879489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548879489
Entity Type Individual
Full Name DEODRA BROADNAX
Practice Address 1451 Marine Ave Apt D
Gardena
CA 90247-3331
Mailing Address 7857 Florence Ave # 112
Downey
CA 90240-3700
Practice Telephone 3109910023
Mailing Telephone 3109910023
Enumeration Date 2020-07-27
Last Update Date 2020-07-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services Agencies

Office Location

Street Address 1451 MARINE AVE APT D
City GARDENA
State CA
Zip Code 90247-3331

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982204707 Melissa Reyes Home Health Aide 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 2020-10-30
1538645569 Christopher Jabarie Markham Case Manager/Care Coordinator 12817 S Hoover St Apt 14, Gardena, CA 90247 2018-07-12
1013404243 Sunshine Community Resource Organization Center Counselor 1202 W 135th Street, Gardena, CA 90247 2018-04-13
1124537261 Nina Vu Pharmacist 14416 Plum Lane, Unit 3, Gardena, CA 90247 2017-09-20
1356871008 Delaram Moshfegh Pharmacist 1735 Artesia Blvd, Gardena, CA 90247 2017-06-15
1497290522 Better Vision Optical Eyewear Supplier (Equipment, not the service) 1121 W Gardena Blvd Ste A, Gardena, CA 90247 2016-12-28
1013394832 Lydia Gonzalez Case Management 13605 S Vermont Ave Apt 16, Gardena, CA 90247 2015-04-30
1396147682 Daniel Medical Group, Inc. Acupuncturist 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 2014-09-18
1386913663 Linda Doreen Humphries Nurse Practitioner 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 2011-12-15
1215229547 Everett D Wong Social Worker 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 2011-05-04
Find all providers in zip 90247

Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932718871 Michelle Wright Day Training, Developmentally Disabled Services 105 W Walnut St, Gardena, CA 90248-3103 2020-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194335430 Creative Alternative for Learning & Living, Inc. Day Training, Developmentally Disabled Services 11700 Viejo Camino, Atascadero, CA 93422-6023 2020-08-02
1487262259 Loving Hands Home Care LLC Day Training, Developmentally Disabled Services 12414 Gila River Dr, Bakersfield, CA 93312-5740 2020-07-17
1366061301 Jannic Health Services, LLC Day Training, Developmentally Disabled Services 26970 Hayward Blvd Apt 206, Hayward, CA 94542-2088 2020-04-09
1427681063 Guardians Day Training, Developmentally Disabled Services 1512 California St Apt 3, San Francisco, CA 94109-4753 2020-02-21
1629619705 Aura Behavioral Health Day Training, Developmentally Disabled Services 2656 El Prado Way, Sacramento, CA 95825-0304 2019-09-30
1235791492 A Veteran's Objective Day Training, Developmentally Disabled Services 4612 Abbotswood Cir # 1619, Irvine, CA 92604-2319 2019-07-08
1780242404 Sprye Person With Unique Disability Inc Day Training, Developmentally Disabled Services 4130 W 161st St, Lawndale, CA 90260-2731 2019-05-29
1962067629 Taneeka Hearns Day Training, Developmentally Disabled Services 13484 Cora Pl, Moreno Valley, CA 92553-3820 2019-05-07
1053976811 Octavia Antoinette Askew Day Training, Developmentally Disabled Services 5412 S Broadway, Los Angeles, CA 90037-4126 2019-05-07
1831752781 Nexus Therapies LLC Day Training, Developmentally Disabled Services 2401 Waterman Blvd Ste A4-230, Fairfield, CA 94534-1800 2019-04-17
Find all providers with the same taxonomy

Competitor

Search similar providers

City GARDENA
Zip Code 90247

Improve Information

Please comment or provide details below to improve the information on DEODRA BROADNAX.

Dataset Information

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.

Trending Searches