Organization Active NPI

Tehillim Home Care Agency LLC

  • In Home Supportive Care Agency
  • Chatsworth, CA
National Provider Identifier
1093680902
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TEHILLIM HOME CARE AGENCY LLC
Practice address
21632 Blackhawk St
Chatsworth, CA 91311-2107
Phone
(805) 806-8890
NPI assigned
Oct 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Grace Komukama
Title
Owner
Phone
(805) 806-8890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

21632 Blackhawk St
Chatsworth, CA 91311-2107

Mailing address

21632 Blackhawk St
Chatsworth, CA 91311-2107
Phone (805) 806-8890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1093680902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21632 BLACKHAWK ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112107",
            "telephone_number": "805-806-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21632 BLACKHAWK ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112107",
            "telephone_number": "805-806-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEHILLIM HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "KOMUKAMA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-806-8890"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.