MOM & DAD'S HOUSE – NPI #1215470026
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

MOM & DAD'S HOUSE is a residential treatment facility (RTF) located in LAKEWOOD, CA. NPPES has assigned the NPI number 1215470026 to MOM & DAD'S HOUSE on November 28, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOM & DAD'S HOUSE” is a dba name, the actual legal business name for this organization is BLUE HORIZON HOMES, LLC. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOM & DAD'S HOUSE below.

NPI Profile for
BLUE HORIZON HOMES, LLC

NPI Number
1215470026
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE HORIZON HOMES, LLC
Doing Business As (dba): MOM & DAD'S HOUSE
Primary location
4340 CONQUISTA AVE.
LAKEWOOD, CA 90713
Phone: (949) 381-1792 Fax: (562) 800-0318
Mailing address
BOX # 254
12340 SEAL BEACH BLVD. SUITE B
SEAL BEACH, CA 90740
Phone: (949) 381-1792 Fax: (562) 800-0318
Organization Subpart
No
Authorized Official
IVONNE MEADER
ADMINISTRATOR
Phone: (949) 381-1792
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320700000X
- Residential Treatment Facility, Physical Disabilities (Primary)
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.