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NORMANDIE PLACE
NPI 1407063886
Intermediate Care Facility, Intellectual Disabilities in Gardena, CA

Active since May 16, 2007CLIA 05D1016892 · Waiver
14509 S NORMANDIE AVE, GARDENA, CA 90247(310) 767-1390(310) 767-1007 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Normandie Place NPPES

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

NORMANDIE PLACE (NPI 1407063886) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Gardena, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Eugene Hardin, Licensee, as its authorized official.

NPPES Registry Identity

NPI1407063886
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameNORMANDIE PLACE
Location Address14509 S NORMANDIE AVEGardena, CA 90247-2405
Mailing Address14901 Condon AveLawndale, CA 90260-1216 · (310) 739-3585 · Fax (310) 767-1007
Phone(310) 767-1390
Fax(310) 767-1007
Organization SubpartYesParent: St. Mary Investments, Inc.
Authorized OfficialEugene HardinLicensee · (310) 739-3585
Enumeration DateMay 16, 2007
Last NPPES UpdateJuly 3, 2008
✔ NPI 1407063886 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
License✔ Licensed in CA · 960000798
Definition

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

14509 S NORMANDIE AVE, Gardena, CA 90247
Open in Google Maps ↗

Other Identifiers 1

Other1407063886CA · Medi-cal

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 05D1016892

Normandie Place · Gardena, CA
Active · expires Sep 10, 2027
CLIA Number05D1016892
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorHazel Mckillop MD
Laboratory Phone(310) 767-1390
Laboratory LocationNormandie Place14509 S Normandie Avenue, Gardena, CA 90247
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Normandie Place's NPI number?

The NPI number for Normandie Place is 1407063886. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Normandie Place located?

Normandie Place is located at 14509 S Normandie Ave, Gardena, CA 90247. The listed phone number is (310) 767-1390.

What is Normandie Place's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Normandie Place hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1016892) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Normandie Place was last updated on July 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.