Active NPI
Family Adult Day Healthcare
- Adult Day Care Clinic/Center
- Lomita, CA
National Provider Identifier
1104976612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- FAMILY ADULT DAY HEALTHCARE
- Practice address
- 2280 Lomita Blvd
Lomita, CA 90717-1436 - Phone
- (310) 602-0123
- Fax
- (310) 602-0124
- NPI assigned
- Jan 10, 2007
- 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
- Ms. Josephine Chavez
- Title
- Administrator
- Phone
- (310) 602-0123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | CA | Primary |
Addresses
Primary practice location
2280 Lomita Blvd
Lomita, CA 90717-1436
Mailing address
2280 Lomita Blvd
Lomita, CA 90717-1436
Phone (310) 602-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ADU70272G | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
2280 Lomita Blvd
Lomita, CA 90717
Phone (310) 602-0123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104976612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 LOMITA BLVD",
"city": "LOMITA",
"state": "CA",
"postal_code": "907171436",
"telephone_number": "310-602-0123",
"fax_number": "310-602-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 LOMITA BLVD",
"city": "LOMITA",
"state": "CA",
"postal_code": "907171436",
"telephone_number": "310-602-0123",
"fax_number": "310-602-0124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY ADULT DAY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHAVEZ",
"authorized_official_first_name": "JOSEPHINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "310-602-0123",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ADU70272G",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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- Ezfm Marketing Inc (Professional Woundcare)
- Xinhua Fan
- Brianna Michelle Fine, MSOT, OTR/L, CPAM
- Harumi Flaborea de Oliveira
- Petra Anne Fletcher
- Florence Ezeaku-Olie (Floxie Medical Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.