Active NPI
Senior Care and Development Inc
- Adult Day Care Clinic/Center
- Los Angeles, CA
National Provider Identifier
1457617748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 060000936
- Legal business name
- SENIOR CARE AND DEVELOPMENT INC
- Practice address
- 4515 Eagle Rock Blvd
Los Angeles, CA 90041-3395 - Phone
- (323) 712-8523
- NPI assigned
- Apr 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gregoria Valiente
- Title
- Chief Executive Officer
- Phone
- (323) 712-8523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 060000936 | CA | Primary |
Addresses
Primary practice location
4515 Eagle Rock Blvd
Los Angeles, CA 90041-3395
Mailing address
4515 Eagle Rock Blvd
Los Angeles, CA 90041-3395
Phone (323) 712-8523
Other names 1
- Everlasting Adult Day Health Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334102400000",
"number": "1457617748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 EAGLE ROCK BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413395",
"telephone_number": "323-712-8523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 EAGLE ROCK BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413395",
"telephone_number": "323-712-8523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR CARE AND DEVELOPMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A",
"authorized_official_last_name": "VALIENTE",
"authorized_official_first_name": "GREGORIA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "323-712-8523",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": "060000936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Everlasting Adult Day Health Care",
"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 Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.