SHUTES & LEE, INC


Address: 1857 S Hayworth Ave, Los Angeles, CA 90035-4619
Phone: 3239352244

SHUTES & LEE, INC (NPI# 1164641270) 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) 1164641270
Entity Type Organization
Organization Name SHUTES & LEE, INC
Other Organization Name SHUTES & LEE ADULT GROUP HOME # 2
Practice Address 1857 S Hayworth Ave
Los Angeles
CA 90035-4619
Practice Telephone 3239352244
Practice Fax Number 3239391069
Mailing Telephone 3239352244
Mailing Fax Number 3239391069
Enumeration Date 2007-04-25
Last Update Date 2020-08-22
Authorized Official Name MS. BELINDA LEE (ADMINISTRATOR)
Authorized Official Telephone 3230352244
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities CA Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Shutes & Lee Adult Group Home # 2 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093934101 Shutes & Lee, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1443 S Genesee Ave, Los Angeles, CA 90019-3702 2007-04-25

Office Location

Street Address 1857 S HAYWORTH AVE
City LOS ANGELES
State CA
Zip Code 90035-4619

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1093934101 Shutes & Lee, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1443 S Genesee Ave, Los Angeles, CA 90019-3702 2007-04-25
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Competitor

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City LOS ANGELES
Zip Code 90035

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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.

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