Organization Active NPI

Michelle Pullum

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1346089752
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MICHELLE PULLUM
Doing business as
Safeguard Residential Home
Practice address
1200 W 85TH St
Los Angeles, CA 90044-2218
Phone
(310) 909-6513
NPI assigned
May 23, 2024
Organization subpart
Yes
Parent organization
SAFEGUARD RESIDENTIAL HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Michelle Pullum
Title
Owner
Phone
(310) 909-6513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1200 W 85TH St
Los Angeles, CA 90044-2218

Mailing address

1200 W 85TH St
Los Angeles, CA 90044-2218
Phone (310) 909-6513

Other names 1

  • Safeguard Residential Home Doing business as

National Provider Directory

National Provider Directory
Part of
Michelle Pullum

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1346089752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W 85TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900442218",
            "telephone_number": "310-909-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 85TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900442218",
            "telephone_number": "310-909-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE PULLUM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFEGUARD RESIDENTIAL HOME",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "PULLUM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-909-6513"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safeguard Residential Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 23, 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.