Organization Active NPI

Achieve Home Care

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1336754357
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACHIEVE HOME CARE
Practice address
13101 W Washington Blvd Ste 240
Los Angeles, CA 90066-8128
Phone
(310) 913-3165
Fax
(310) 566-7569
NPI assigned
Sep 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Yanjun Pan
Title
Ceo
Phone
(310) 913-3165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13101 W Washington Blvd Ste 240
Los Angeles, CA 90066-8128

Mailing address

13101 W Washington Blvd Ste 240
Los Angeles, CA 90066-8128
Phone (310) 913-3165

National Provider Directory

National Provider Directory

Locations

430 Foothill Blvd
Ste H
La Canada Flintridge, CA 91011
Phone (310) 913-3165

13101 W Washington Blvd
Ste 240
Los Angeles, CA 90066
Phone (310) 913-3165

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1336754357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD STE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900668128",
            "telephone_number": "310-913-3165",
            "fax_number": "310-566-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD STE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900668128",
            "telephone_number": "310-913-3165",
            "fax_number": "310-566-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "YANJUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-913-3165"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Dec 11, 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.