Organization Active NPI

Elsa Home Care LLC

  • In Home Supportive Care Agency
  • Los Angeles, CA
National Provider Identifier
1467112383
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELSA HOME CARE LLC
Practice address
1633 E 114TH St
Los Angeles, CA 90059-1901
Phone
(323) 252-1729
NPI assigned
Dec 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Conwaight Reyes
Title
Owner/President
Phone
(323) 252-1729

Specialties & licenses 1

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

Addresses

Primary practice location

1633 E 114TH St
Los Angeles, CA 90059-1901

Mailing address

1633 E 114TH St
Los Angeles, CA 90059-1901
Phone (323) 252-1729

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1467112383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 E 114TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900591901",
            "telephone_number": "323-252-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 E 114TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900591901",
            "telephone_number": "323-252-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CONWAIGHT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "323-252-1729"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 20, 2021; 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.