NPIMap

Organization Active NPI

C & C Quality Care Home

  • Intellectual Disabilities Intermediate Care Facility
  • Inglewood, CA
National Provider Identifier
1043430358
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
960000779 Issued in CA
Legal business name
C & C QUALITY CARE HOME
Practice address
931 E la Palma Dr
Inglewood, CA 90301-3780
Phone
(310) 419-0616
Fax
(310) 673-0753
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Mrs. Hortense G. Crawford, RNNPI 1588404792
Title
Administration
Phone
(310) 419-0616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 960000779 CA Primary

Addresses

Primary practice location

931 E la Palma Dr
Inglewood, CA 90301-3780

Mailing address

931 La Brea Dr E
Inglewood, CA 90301
Phone (310) 419-0616

Other practice location 1

931 La Brea Dr
Inglewood, CA 90301-3407
Phone (310) 419-0616

Other identifiers 1

IdentifierTypeStateIssuer
LTC60504FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
C C Quality Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1043430358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 LA BREA DR E",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-419-0616",
            "fax_number": "323-758-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E LA PALMA DR",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013780",
            "telephone_number": "310-419-0616",
            "fax_number": "310-673-0753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "931 La Brea Dr",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903013407",
            "country_code": "US",
            "telephone_number": "310-419-0616",
            "fax_number": "323-758-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C & C QUALITY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "HORTENSE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "310-419-0616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960000779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60504F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.