Organization Active NPI

Immaculate Hands Care LLC

  • Nursing Facility/Intermediate Care Facility
  • Long Beach, CA
National Provider Identifier
1053052886
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
IMMACULATE HANDS CARE LLC
Practice address
1425 W Spring St
Long Beach, CA 90810-2822
Phone
(310) 746-6963
Fax
(562) 513-3446
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Mr. Charls Delos Santos
Title
Secretary
Phone
(310) 746-6963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

1425 W Spring St
Long Beach, CA 90810-2822

Mailing address

1425 W Spring St
Long Beach, CA 90810-2822
Phone (310) 746-6963

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1053052886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908102822",
            "telephone_number": "310-746-6963",
            "fax_number": "562-513-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908102822",
            "telephone_number": "310-746-6963",
            "fax_number": "562-513-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HANDS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "DELOS SANTOS",
        "authorized_official_first_name": "CHARLS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "310-746-6963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.