Active NPI
Immaculate Hands Care LLC
- Nursing Facility/Intermediate Care Facility
- Long Beach, CA
National Provider Identifier
1053052886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.