Loop Village Inc

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

LOOP VILLAGE INC

Practice address

15765 La Mar CT
Morgan Hill, CA 95037-5669

Phone

(323) 459-4956

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Maria BothamNPI 1255801098

Title

Ceo

Phone

(323) 459-4956

Specialties & licenses 2

Addresses

Other names 1

• Loop, Inc. Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Elizabeth Botham

  • Specialist
  • Los Angeles, CA
  • NPI 1255801098

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1336893718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S ROSSMORE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900204741",
            "telephone_number": "323-459-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15765 LA MAR CT",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375669",
            "telephone_number": "323-459-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOP VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "BOTHAM",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-459-4956"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loop, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Loop, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vivian C Liu, DDS
• Jacob Dewayne Locklin
• Ann Lodolini-Kho, BCBA
• Gilbert Lomas Sr., CNA
• Longs Drug Stores California LLC
• Jesse Lopez
• Jill Winkelstein Lopez, MFT
• Xerna Lorenzo, OTR/L
• Anna Lotich, MS, OTR/L
• Cynthia Lum

• Adult Companion in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• Adult Companion in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.