OUR HOUSE - SUNSET
NPI 1306901855
Intermediate Care Facility, Intellectual Disabilities in Madera, CA

Active since December 26, 2006
405 SHANNON AVE, MADERA, CA 93637(559) 673-1922(559) 673-4825 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Our House - Sunset NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUR HOUSE - SUNSET (NPI 1306901855) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Madera, California and active in the NPI registry since December 2006. The organization lists Dana Dawn Lennemann, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1306901855
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameOUR HOUSE RESIDENTIAL CARE, INC
Location Address405 SHANNON AVEMadera, CA 93637-4255
Mailing Address500 S D StMadera, CA 93638-3857 · (559) 673-1922 · Fax (559) 673-4825
Fax(559) 673-4825
Organization SubpartNo
Authorized OfficialDana Dawn LennemannVp Of Operations · (559) 674-8670
Enumeration DateDecember 26, 2006
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1306901855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

405 SHANNON AVE, Madera, CA 93637

Other Names 1

Doing Business AsOur House - Sunset

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0955397

Our House Residentiaal Care · Madera, CA
Active · expires Dec 28, 2026
CLIA Number05D0955397
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorSharnjit S. Purewal MD
Laboratory Phone(559) 661-0426
Laboratory LocationOur House Residentiaal Care525 Shannon Drive, Madera, CA 93637
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306901855, enumerated as an "organization" on December 26, 2006.

The provider is located at 405 SHANNON AVE MADERA, CA 93637 and the phone number is (559) 673-1922.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.