Active NPI
CTSH Burbank, LLC
- In Home Supportive Care Agency
- Glendale, CA
National Provider Identifier
1225720790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CTSH BURBANK, LLC
- Practice address
- 611 N Brand Blvd Ste 1300
Glendale, CA 91203-3213 - Phone
- (818) 446-6966
- Fax
- (949) 916-6785
- NPI assigned
- May 23, 2023
- 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
- Parker Wells
- Title
- Managing Member
- Phone
- (949) 264-3447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
611 N Brand Blvd Ste 1300
Glendale, CA 91203-3213
Mailing address
640 N Tustin Ave Ste 201
Santa Ana, CA 92705-3783
Phone (949) 916-6705
Other names 1
- Care To Stay Home
National Provider Directory
National Provider DirectoryLocations
611 N Brand Blvd
Ste 1300
Glendale, CA 91203
Phone (818) 446-6966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684886400000",
"number": "1225720790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 N TUSTIN AVE STE 201",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053783",
"telephone_number": "949-916-6705",
"fax_number": "949-916-6785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N BRAND BLVD STE 1300",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033213",
"telephone_number": "818-446-6966",
"fax_number": "949-916-6785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CTSH BURBANK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "PARKER",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "949-264-3447"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Care To Stay Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.