NPIMap

Organization Active NPI

T Michael, LLC

  • Assisted Living Facility
  • Los Angeles, CA
National Provider Identifier
1124252085
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197602852 Issued in CA
Legal business name
T MICHAEL, LLC
Practice address
654 Lillian Way
Los Angeles, CA 90004-1108
Phone
(323) 876-6370
Fax
(323) 957-9792
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Mr. Timothy M Coury Sr., NHA
Title
President
Phone
(323) 876-6370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197602852 CA Primary

Addresses

Primary practice location

654 Lillian Way
Los Angeles, CA 90004-1108

Mailing address

7316 Woodrow Wilson Dr
Los Angeles, CA 90046-1321
Phone (323) 876-6370

Other names 1

  • Country Club North Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amend5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1124252085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 WOODROW WILSON DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461321",
            "telephone_number": "323-876-6370",
            "fax_number": "323-957-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 LILLIAN WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041108",
            "telephone_number": "323-876-6370",
            "fax_number": "323-957-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T MICHAEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "COURY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-876-6370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197602852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Club North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.