Active NPI
Cotton Candy & Company LLC
- Home Health Agency
- Beverly Hills, CA
National Provider Identifier
1083419600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COTTON CANDY & COMPANY LLC
- Practice address
- 9100 Wilshire Blvd
Beverly Hills, CA 90212-3415 - Phone
- (470) 532-0994
- NPI assigned
- Feb 18, 2025
- 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
- Chatavia A Callaway
- Title
- Owner
- Phone
- (818) 824-8770
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Home Delivered Meals | 332U00000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
9100 Wilshire Blvd
Beverly Hills, CA 90212-3415
Mailing address
1474 Talia Wood Cir NW
Atlanta, GA 30314-2078
Phone (818) 824-8770
Other practice location 1
3577 Log Cabin Dr
Macon, GA 31204-3708
Phone (478) 241-8230
Other practice location 2
1474 Talia Wood Cir NW
Atlanta, GA 30314-2078
Phone (470) 532-0994
Other names 1
- Loving Angels In-Home Healthcare Services
National Provider Directory
National Provider Directory- Tax ID family
- Cotton Candy Company LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Administrator Registered Nurse
- Beverly Hills, CA
- NPI 1194520585
-
- Home Health Clinical Nurse Specialist
- Beverly Hills, CA
- NPI 1588469951
-
- Nursing Home Administrator
- Beverly Hills, CA
- NPI 1629873245
-
- Special Hospital
- Beverly Hills, CA
- NPI 1659176071
Locations
9100 Wilshire Blvd
Beverly Hills, CA 90212
Phone (424) 777-0708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764460800000",
"number": "1083419600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1474 TALIA WOOD CIR NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303142078",
"telephone_number": "818-824-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 WILSHIRE BLVD",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123415",
"telephone_number": "470-532-0994"
}
],
"practiceLocations": [
{
"address_1": "3577 Log Cabin Dr",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312043708",
"country_code": "US",
"telephone_number": "478-241-8230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1474 Talia Wood Cir NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303142078",
"country_code": "US",
"telephone_number": "470-532-0994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COTTON CANDY & COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-18",
"last_updated": "2025-11-30",
"certification_date": "2025-11-30",
"status": "A",
"authorized_official_last_name": "CALLAWAY",
"authorized_official_first_name": "CHATAVIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-824-8770"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Loving Angels In-Home Healthcare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.