Organization Active NPI

Path Homecare

  • In Home Supportive Care Agency
  • Los Angeles, CA
National Provider Identifier
1295612315
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PATH HOMECARE
Practice address
2205 Venice Blvd Ste a
Los Angeles, CA 90006-5107
Phone
(323) 402-0167
NPI assigned
Aug 20, 2025
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Sun Hae Kwon
Title
President
Phone
(213) 595-5880

Specialties & licenses 1

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

Addresses

Primary practice location

2205 Venice Blvd Ste a
Los Angeles, CA 90006-5107

Mailing address

2205 Venice Blvd Ste a
Los Angeles, CA 90006-5107
Phone (323) 402-0167

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1295612315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 VENICE BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065107",
            "telephone_number": "323-402-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 VENICE BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065107",
            "telephone_number": "323-402-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "HAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-595-5880"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

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