Organization Active NPI

Hardi Health Care, Inc

  • Skilled Nursing Facility
  • Hawthorne, CA
National Provider Identifier
1164410759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HARDI HEALTH CARE, INC
Doing business as
HAWTHORNE CONVALESCENT CENTER
Practice address
11630 S. Grevillea Ave
Hawthorne, CA 90250-2231
Phone
(310) 679-9732
Fax
(310) 679-3672
NPI assigned
Oct 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lydia Floro Cruz
Title
President
Phone
(323) 965-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

11630 S. Grevillea Ave
Hawthorne, CA 90250-2231

Mailing address

11630 Grevillea Ave
Hawthorne, CA 90250-2221
Phone (310) 679-9732

Other identifiers 1

IdentifierTypeStateIssuer
LTC55677FMedicaidCA

Other names 1

  • HAWTHORNE CONVALESCENT CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164410759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 GREVILLEA AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502221",
            "telephone_number": "310-679-9732",
            "fax_number": "310-679-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 S. GREVILLEA AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502231",
            "telephone_number": "310-679-9732",
            "fax_number": "310-679-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDI HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "FLORO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-965-0600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55677F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAWTHORNE CONVALESCENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawthorne, CA

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.

Verify at the official NPI Registry.