Broom Homestead Inc

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

BROOM HOMESTEAD INC

Doing business as

Edrica's House of Hope

Practice address

3616 10TH Ave
Los Angeles, CA 90018-4113

Phone

(323) 643-4869

Fax

(323) 643-4869

NPI assigned

Mar 1, 2025

Last updated

Apr 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Walter E Broom, CADC II

Title

Ceo/Executive Director

Phone

(323) 643-4869

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Edrica's House of Hope Doing business as

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1134926769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 10TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900184113",
            "telephone_number": "323-643-4869",
            "fax_number": "323-643-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 10TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900184113",
            "telephone_number": "323-643-4869",
            "fax_number": "323-643-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOM HOMESTEAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "BROOM",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-643-4869",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC II"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE/ADDICTION COUNSELOR",
            "identifier": "B1305161051",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edrica's House of Hope",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edrica's House of Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Jean Brooks, RN
• Tamrah D Brooks, MFTI
• Theresa Louise Brooks, RADT
• Veronica Marie Brooks, LCSW
• Zoey Brooks
• Aletheia Edrica Broom
• Sabrina Shaya Broomandan, NP
• Kai Anthony Broomfield
• James Michael Brophy
• Rachel Libbey Brosamle, PH.D.

• Case Manager/Care Coordinator in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.