TETRA HEALTH CARE
NPI 1396214615
Day Training, Developmentally Disabled Services in Los Angeles, CA

Active since November 15, 2018
10714 WOODBINE ST APT 4, LOS ANGELES, CA 90034(310) 925-5542 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tetra Health Care NPPES

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

TETRA HEALTH CARE (NPI 1396214615) is a healthcare organization registered as a day training, developmentally disabled services in Los Angeles, California and active in the NPI registry since November 2018. The organization lists Geraldine Lise Essombe, Bcba, as its authorized official.

NPPES Registry Identity

NPI1396214615
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameTETRA HEALTH CARE
Location Address10714 WOODBINE ST APT 4Los Angeles, CA 90034-5423
Mailing Address10714 Woodbine St Apt 4Los Angeles, CA 90034-5423 · (310) 925-5542
Organization SubpartNo
Authorized OfficialGeraldine Lise EssombeBcba · (310) 925-5542
Enumeration DateNovember 15, 2018
NPI 1396214615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
10714 WOODBINE ST APT 4, Los Angeles, CA 90034

Other Identifiers 1

Medicaid1700331956CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tetra Health Care's NPI number?

The NPI number for Tetra Health Care is 1396214615. It was assigned to this organization in the NPPES registry on November 15, 2018.

Where is Tetra Health Care located?

Tetra Health Care is located at 10714 Woodbine St Apt 4, Los Angeles, CA 90034. The listed phone number is (310) 925-5542.

What is Tetra Health Care's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Tetra Health Care was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.