BERRYMAN AVENUE HOUSE
NPI 1346458569
Intermediate Care Facility, Intellectual Disabilities in Los Angeles, CA

NPI Status: Active since May 19, 2007

Contact Information

3846 CHANSON DR
LOS ANGELES, CA
ZIP 90043
Phone: (310) 674-8345
Fax: (310) 674-8282

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About BERRYMAN AVENUE HOUSE

This page provides the complete NPI Profile along with additional information for Berryman Avenue House, a provider established in Los Angeles, California operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1346458569 assigned on May 2007. The practitioner's primary taxonomy code is 315P00000X with license number 960000533 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Berryman Avenue House. The authorized official of this NPI record is Faye Williams (Licensee)

NPI
1346458569
Provider Legal Name
JASMINE CENTERS, INC.
Other Organization Name
BERRYMAN AVENUE HOUSE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3846 CHANSON DR LOS ANGELES, CA 90043
Location Phone
(310) 674-8345
Location Fax
(310) 674-8282
Mailing Address
105 S PRAIRIE AVE INGLEWOOD, CA 90301
Mailing Phone
(310) 674-8345
Mailing Fax
(310) 674-8282
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2007
Last Update Date
06-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
960000533
License State
CA
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FAYE WILLIAMS

Authorized Official Title
LICENSEE
Authorized Official Phone
(310) 674-8345

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346458569
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23868516512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 8 + 5 + 1 + 6 + 5 + 1 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1346458569 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

JASMINE CENTERS, INC. - BEACH AVENUE HOUSE

Intermediate Care Facility, Intellectual Disabilities

3846 CHANSON DR
LOS ANGELES, CA
ZIP 90043

(310) 674-8345

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346458569, enumerated as an "organization" on May 19, 2007.

The provider is located at 3846 CHANSON DR LOS ANGELES, CA 90043 and the phone number is (310) 674-8345.

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