Organization Active NPI

Qualitycare Health Services Corporation

Doing business as Central Adult Day Health Care Center

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1033241690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
QUALITYCARE HEALTH SERVICES CORPORATION
Doing business as
Central Adult Day Health Care Center
Practice address
1825 Beverly Blvd
Los Angeles, CA 90057-2501
Phone
(213) 413-6966
Fax
(213) 413-5276
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Elizabeth A Siquian, RN
Title
Program Director
Phone
(213) 413-6966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

1825 Beverly Blvd
Los Angeles, CA 90057-2501

Mailing address

1825 Beverly Blvd
Los Angeles, CA 90057-2501
Phone (213) 413-6966

Other identifiers 1

IdentifierTypeStateIssuer
ADU70063GMedicaidCA

Other names 1

  • Central Adult Day Health Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

1825 Beverly Blvd
Los Angeles, CA 90057
Phone (213) 413-6966

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033241690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572501",
            "telephone_number": "213-413-6966",
            "fax_number": "213-413-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572501",
            "telephone_number": "213-413-6966",
            "fax_number": "213-413-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITYCARE HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIQUIAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "213-413-6966",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70063G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.