Organization Active NPI

Clarendon at Home, Inc.

  • In Home Supportive Care Agency
  • Reseda, CA
National Provider Identifier
1265112494
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CLARENDON AT HOME, INC.
Practice address
19231 Victory Blvd Ste 259
Reseda, CA 91335-6380
Phone
(818) 378-7422
NPI assigned
Jul 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Justin Levi
Title
Vice President
Phone
(818) 378-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

19231 Victory Blvd Ste 259
Reseda, CA 91335-6380

Mailing address

6230 Wilshire Blvd # 2070
Los Angeles, CA 90048-5126

Other names 1

  • Virtue Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

6230 Wilshire Blvd
#2070
Los Angeles, CA 90048

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1265112494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 WILSHIRE BLVD # 2070",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 259",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356380",
            "telephone_number": "818-378-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENDON AT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-378-7422"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virtue Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.