NPI Code Detail JSON Logo

1578440442 NPI number — JOYOUS VENTURES LLC

NPI Number: 1578440442
Health Care Provider/Practitioner: JOYOUS VENTURES LLC

Information about “1578440442” NPI (JOYOUS VENTURES LLC) exists in 1578440442 in HTML format HTML  |  1578440442 in plain Text format TXT  |  1578440442 in PDF (Portable Document Format) PDF  |  1578440442 in an XML format XML  formats.

NPI Number : 1578440442 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578440442",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JOYOUS VENTURES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "335 E. ALBERTONI ST. STE. 200 #405",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARSON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90746",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-604-9005",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1012 1/2 S. HERBERT AVE.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90023",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-604-9005",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/20/2025",
    "LastUpdateDate": "08/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MARK",
    "AuthorizedOfficialFirstName": "JUATAUN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF OPERATING OFFICER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "323-659-8517",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "320700000X",
          "TaxonomyName": "Physical Disabilities Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320600000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320800000X",
          "TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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