NPIMap

Organization Active NPI

T Michael, LLC

  • Assisted Living Facility
  • Los Angeles, CA
National Provider Identifier
1356660732
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197602460 Issued in CA
Legal business name
T MICHAEL, LLC
Practice address
4107 Garden Ave
Los Angeles, CA 90039-1309
Phone
(323) 876-6370
Fax
(323) 957-9792
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Mr. Timothy M Coury, NHA
Title
President
Phone
(323) 876-6370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197602460 CA Primary

Addresses

Primary practice location

4107 Garden Ave
Los Angeles, CA 90039-1309

Mailing address

7316 Woodrow Wilson Dr
Los Angeles, CA 90046-1321
Phone (323) 876-6370

Other names 1

  • Atwater Village North Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amend5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1356660732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 WOODROW WILSON DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461321",
            "telephone_number": "323-876-6370",
            "fax_number": "323-957-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 GARDEN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391309",
            "telephone_number": "323-876-6370",
            "fax_number": "323-957-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T MICHAEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "COURY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-876-6370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197602460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atwater Village North",
            "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 24, 2010; 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.