Charnock Residential Home Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHARNOCK RESIDENTIAL HOME INC.

Practice address

11172 Charnock Rd
Los Angeles, CA 90034-6521

Phone

(310) 991-8120

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Hilda Cervantes

Title

Administrator

Phone

(310) 991-8120

Specialties & licenses 1

Addresses

Tax ID family

Charnock Residential Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Charnock Residential Home Inc.

  • Assisted Living Facility
  • Los Angeles, CA
  • NPI 1578311825
  NPD tax ID

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1316795669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11172 CHARNOCK RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346521",
            "telephone_number": "310-991-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11172 CHARNOCK RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346521",
            "telephone_number": "310-991-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARNOCK RESIDENTIAL HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-991-8120"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Leonard Charlton, MD
• Frank Charlton, DPT
• Kimberly Ann Charlton, M.D.
• Timothy P. Charlton, MD
• Elisa Donna Charney, D.D.S.
• Charnock Residential Home Inc.
• Clara Charny, D.C.
• Janet Charoensook, M.D.
• Suthep Charoonratana
• Vena Charooratana

• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.