Kingsley Place Adult Health Day Care Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

060000786 Issued in CA

Legal business name

KINGSLEY PLACE ADULT HEALTH DAY CARE INC

Practice address

548 S Kingsley Dr
Los Angeles, CA 90020-3506

Phone

(213) 383-3303

Fax

(213) 384-1772

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Crystal Pak

Title

Ceo

Phone

(213) 383-3303

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1285859249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 S KINGSLEY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203506",
            "telephone_number": "213-383-3303",
            "fax_number": "213-384-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 S KINGSLEY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203506",
            "telephone_number": "213-383-3303",
            "fax_number": "213-384-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY PLACE ADULT HEALTH DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-383-3303"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70264F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kings Group Holding
• Kings TMS Therapy Clinic
• Kingsley O. Ofoegbu, MD, F.a.C.P., Inc.
• Kingsley Pharmacy
• Kingsley Place Adhc 2
• Janis Kingsley, PSYD
• Kingston Health Group
• Anna Kingston, OT
• Sara Elizabeth Kingston, MD
• Laurie Dyan Kinigstein, LCSW

• Adult Day Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.