Organization Active NPI

Ejm Home Care LLC

  • In Home Supportive Care Agency
  • San Pedro, CA
National Provider Identifier
1346800489
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EJM HOME CARE LLC
Practice address
1397 W Ofarrell St
San Pedro, CA 90732-2938
Phone
(310) 926-7412
NPI assigned
Jun 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Eleanor Morgan
Title
Owner
Phone
(310) 920-7412

Specialties & licenses 1

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

Addresses

Primary practice location

1397 W Ofarrell St
San Pedro, CA 90732-2938

Mailing address

870 W 9TH St Ste 201
San Pedro, CA 90731-3637

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory

Locations

870 W 9th St
Ste 201
San Pedro, CA 90731

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1346800489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 W 9TH ST STE 201",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 W OFARRELL ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322938",
            "telephone_number": "310-926-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-920-7412"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.