Organization Active NPI

Koreatown Community Based Adult Services, Inc.

Doing business as Koreatown Adult Day Health Care Center

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1184102287
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KOREATOWN COMMUNITY BASED ADULT SERVICES, INC.
Doing business as
Koreatown Adult Day Health Care Center
Practice address
2140 W Olympic Blvd Ste 100
Los Angeles, CA 90006-2250
Phone
(213) 378-0101
Fax
(213) 378-0106
NPI assigned
Jul 31, 2018
Last updated
May 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Taewoong Kim
Title
Administrator
Phone
(213) 378-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

2140 W Olympic Blvd Ste 100
Los Angeles, CA 90006-2250

Mailing address

2140 W Olympic Blvd Ste 100
Los Angeles, CA 90006-2250
Phone (213) 378-0101

Other names 1

  • Koreatown Adult Day Health Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2171978Koreatown Adult Day Health Care Center2140 W Olympic Blvd Suite 100, Los Angeles, CA 90006Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

Locations

2140 W Olympic Blvd
Ste 100
Los Angeles, CA 90006
Phone (213) 378-0101

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1184102287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W OLYMPIC BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062250",
            "telephone_number": "213-378-0101",
            "fax_number": "213-378-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W OLYMPIC BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062250",
            "telephone_number": "213-378-0101",
            "fax_number": "213-378-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREATOWN COMMUNITY BASED ADULT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAEWOONG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-378-0101"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koreatown Adult Day Health Care Center",
            "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, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.