Carousel Developmental Service

LBN: Carousel Developmental Service
Carousel Developmental Service is an health care organization with primary practice located at 300 S Park Ave Ste 804 , Pomona CA 91766-1559. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Carousel Developmental Service can be contacted via phone (909) 469-2022, or through Blackman, Jazmine via phone (909) 469-2022.

Contact Information

Primary practice address
300 S Park Ave Ste 804 Pomona CA 91766-1559
Fax:
Website:
Authorized official contact:
Name: Blackman, Jazmine Master of Arts (MA)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1275172579
LBN Legal business name Carousel Developmental Service
DBA Doing business as
Authorized official Blackman, Jazmine Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2020
Last updated Jan 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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