Leisure World Care Giver Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LEISURE WORLD CARE GIVER AGENCY

Practice address

2930 W Imperial Hwy Ste 200Q
Inglewood, CA 90303-3142

Phone

(877) 293-8397

Fax

(323) 754-2724

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Kimberly Adams

Title

Owner

Phone

(562) 506-3958

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1437467263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY STE 200Q",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033142",
            "telephone_number": "877-293-8397",
            "fax_number": "323-754-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY STE 200Q",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033142",
            "telephone_number": "877-293-8397",
            "fax_number": "323-754-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE WORLD CARE GIVER AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-506-3958"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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