Organization Active NPI

Gerontologyhomecompanionlos Angeles Agency, Inc

  • Home Health Agency
  • Santa Monica, CA
National Provider Identifier
1275037723
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GERONTOLOGYHOMECOMPANIONLOS ANGELES AGENCY, INC
Practice address
1424 4TH St
Santa Monica, CA 90401-2335
Phone
(310) 458-9446
Fax
(310) 395-5787
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Eddie M Turner, PRESIDENT/CEO
Title
Owner
Phone
(310) 458-9446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1424 4TH St
Santa Monica, CA 90401-2335

Mailing address

1424 4TH St
Santa Monica, CA 90401-2335
Phone (310) 458-9446

National Provider Directory

National Provider Directory

Locations

1424 4th St
Santa Monica, CA 90401
Phone (310) 458-9446

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1275037723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 4TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012335",
            "telephone_number": "310-458-9446",
            "fax_number": "310-395-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 4TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012335",
            "telephone_number": "310-458-9446",
            "fax_number": "310-395-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERONTOLOGYHOMECOMPANIONLOS ANGELES AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-458-9446",
        "authorized_official_credential": "PRESIDENT/CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.