DELIANN-LUCILE CORPORATION (NPI# 1922548932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922548932 |
| Entity Type | Organization |
| Organization Name | DELIANN-LUCILE CORPORATION |
| Other Organization Name | DELILU ACHIEVEMENT HOME 1 |
| Practice Address |
1564 W 36th Pl Los Angeles CA 90018-4503 |
| Mailing Address |
5731 W Slauson Ave Ste 210 Culver City CA 90230-6982 |
| Practice Telephone | 3237669415 |
| Practice Fax Number | 3237661710 |
| Mailing Telephone | 3102158900 |
| Mailing Fax Number | 3102158907 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | MARY L DAVIS (CEO) |
| Authorized Official Telephone | 3102158900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| DeliLu Achievement Home | Doing Business As Name - Organization |
| DeliLu Achievement Home | Other Name - Individual/Organization |
| DeliLu Achievement Home #1 | Doing Business As Name - Organization |
| DeliLu Achievement Home #1 | Other Name - Individual/Organization |
| DeliLu Achievement Home 1 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992266134 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 5731 W Slauson Ave Ste 210, Culver City, CA 90230-6982 | 2019-03-29 |
| 1245773290 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2016-11-23 |
| 1982147922 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 2122 W 107th St, Los Angeles, CA 90047-4305 | 2016-11-23 |
| 1629511670 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 5739 Chesley Ave, Los Angeles, CA 90043-2423 | 2016-11-23 |
| Street Address |
1564 W 36TH PL |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90018-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245773290 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2016-11-23 |
| 1407498116 | Danyell Reed | Case Manager/Care Coordinator | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2019-10-14 |
| 1508408212 | Starrenda Richman | Case Manager/Care Coordinator | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2019-10-14 |
| 1972150530 | Yvonne Gordon | Social Worker | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2019-08-19 |
| 1033766696 | Bobbie Monger | Case Manager/Care Coordinator | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2019-08-19 |
| 1902452790 | Patrick Gross | Case Manager/Care Coordinator | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2019-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753429 | Gilda Panales | Behavioral Analyst | 2919 1/2 South Bronson Ave, Los Angeles, CA 90018 | 2018-06-14 |
| 1083125603 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3601 2nd Ave, Los Angeles, CA 90018 | 2017-10-23 |
| 1598292351 | Brittney Shanice Hinton | Counselor | 3125 W Adams Blvd, #9, Los Angeles, CA 90018 | 2017-05-11 |
| 1639556632 | Erica Gladden | Radiologic Technologist | 2923 South Dalton Ave, Los Angeles, CA 90018 | 2015-04-29 |
| 1881085942 | Tanisha Merriweather | Counselor | 3521 11th Ave, Los Angeles, CA 90018 | 2015-02-11 |
| 1790088763 | Richard Windom | Counselor | 1361 Exposition Blvd., Los Angeles, CA 90018 | 2010-12-14 |
| 1790095214 | Donielle Spencer | Rehabilitation Practitioner | 1968 W Adams Blvd., Ste 101, Los Angeles, CA 90018 | 2010-10-18 |
| 1780906404 | Earl Cooper | Internal Medicine | 2424 8th Ave., Los Angeles, CA 90018 | 2010-02-22 |
| 1295066207 | Gilda Beatriz Gomez | Rehabilitation Practitioner | 2116 Arlington Ave. Suite 200, Los Angeles, CA 90018 | 2010-01-15 |
| 1922332899 | Roberto Carlos Cisnerso | Counselor | 2357 W. 30th St., Los Angeles, CA 90018 | 2009-09-25 |
| Find all providers in zip 90018 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457863706 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1537 W 49th St, Los Angeles, CA 90062 | 2017-10-26 |
| 1083125603 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3601 2nd Ave, Los Angeles, CA 90018 | 2017-10-23 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1639680259 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1762 W 42nd St, Los Angeles, CA 90062 | 2017-10-23 |
| 1780129486 | Los Angeles Youth Network | Residential Treatment Facility, Emotionally Disturbed Children | 2471 N Beachwood Dr, Los Angeles, CA 90068-3004 | 2017-01-04 |
| 1245773290 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2016-11-23 |
| 1982147922 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 2122 W 107th St, Los Angeles, CA 90047-4305 | 2016-11-23 |
| 1306395454 | Deliann-lucile | Residential Treatment Facility, Emotionally Disturbed Children | 5800 Hannum Ave Ste 230, Los Angeles, CA 90230-6553 | 2016-09-30 |
| 1619400330 | Hamburger Home | Residential Treatment Facility, Emotionally Disturbed Children | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2017-04-10 |
| 1992243380 | Vista Del Mar Child and Family Svc. | Residential Treatment Facility, Emotionally Disturbed Children | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2017-02-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90018 |
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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.