Organization Active NPI

CTSH Burbank, LLC

  • In Home Supportive Care Agency
  • Glendale, CA
National Provider Identifier
1225720790
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on May 24, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.