JOYCE MARIE HOME, INC (NPI# 1992913107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992913107 |
| Entity Type | Organization |
| Organization Name | JOYCE MARIE HOME, INC |
| Practice Address |
2839 S Holt Ave Los Angeles CA 90034-2510 |
| Mailing Address |
11500 Palms Blvd Los Angeles CA 90066-2106 |
| Practice Telephone | 3103911920 |
| Practice Fax Number | 3103903278 |
| Mailing Telephone | 3103911920 |
| Mailing Fax Number | 3103903278 |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AUGUSTO DAVID (LICENSEE) |
| Authorized Official Telephone | 3103911920 |
| 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 |
2839 S HOLT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| 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 |
| 1063621126 | Caridean, Inc. | Intermediate Care Facility, Mentally Retarded | 1942 Thoreau St, Los Angeles, CA 90047-4725 | 2007-05-22 |
| 1174731384 | Caridean Place | Intermediate Care Facility, Mentally Retarded | 1948 Thoreau St, Los Angeles, CA 90047-4725 | 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 | 90034 |
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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.