DELIANN-LUCILE


Address: 5800 Hannum Ave Ste 230, Los Angeles, CA 90230-6553
Phone: 3108375494

DELIANN-LUCILE (NPI# 1306395454) 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) 1306395454
Entity Type Organization
Organization Name DELIANN-LUCILE
Other Organization Name DELILU ACHIEVEMENT HOME
Practice Address 5800 Hannum Ave Ste 230
Los Angeles
CA 90230-6553
Practice Telephone 3108375494
Practice Fax Number 3108158601
Mailing Telephone 3102158900
Mailing Fax Number 3102158907
Enumeration Date 2016-09-30
Last Update Date 2019-03-28
Authorized Official Name MARY L DAVIS (CEO/FOUNDER)
Authorized Official Telephone 3102158900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 198203559 CA Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
DeliLu Achievement Home Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730623547 Deliann-lucile Residential Treatment Facility, Emotionally Disturbed Children 5800 Hannum Ave Ste A230, Culver City, CA 90230-6560 2016-12-13

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DELIANN-LUCILE 5731 W Slauson Ave Ste 210, Culver City, CA 90230-6982

Office Location

Street Address 5800 HANNUM AVE STE 230
City LOS ANGELES
State CA
Zip Code 90230-6553

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NPI Name Taxonomy Address Enumeration
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1902342074 Dorene Lehavi Social Worker 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 2017-01-13
1548634553 Kimberly Henck Speech-Language Pathologist 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 2015-11-15
1346628898 Stephan Sepernia Marriage & Family Therapist 5601 W. Slavson Ave. #192, Culver City, CA 90230 2015-05-15
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1821484841 Jasmine Lee Family Medicine 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 2015-04-07
1043609191 Carrie Mays Counselor 4760 Sepulvda Blvd., Culver City, CA 90230 2015-01-13
1457759375 Monquenta Felicia Young Case Manager/Care Coordinator 666 Green Valley Circle, Culver City, CA 90230 2014-12-09
1972902724 Shana Chan Pope Marriage & Family Therapist 11949 Jefferson Blvd #106, Culver City, CA 90230 2014-08-18
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1619400330 Hamburger Home Residential Treatment Facility, Emotionally Disturbed Children 1701 Camino Palmero St, Los Angeles, CA 90046-2902 2017-04-10
1922548932 Deliann-lucile Corporation Residential Treatment Facility, Emotionally Disturbed Children 1564 W 36th Pl, Los Angeles, CA 90018-4503 2017-02-24
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
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Competitor

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City LOS ANGELES
Zip Code 90230

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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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