Family Hands Adult Residential Care, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

198601610 Issued in CA

Legal business name

FAMILY HANDS ADULT RESIDENTIAL CARE, LLC

Practice address

10016 La Salle Ave
Los Angeles, CA 90047-4242

Phone

(323) 754-2151

Fax

(323) 754-2151

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Evette Scruggs-Tate

Title

Administrator

Phone

(323) 533-2396

Specialties & licenses 12

Addresses

Other names 2

• FAMILY HANDS ADULT CARE FACILITY Doing business as
• FAMILY HANDS ADULT CARE FACILITY II Doing business as

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1528569779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 LA SALLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474242",
            "telephone_number": "323-533-2396",
            "fax_number": "323-571-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10016 LA SALLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474242",
            "telephone_number": "323-754-2151",
            "fax_number": "323-754-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1827 W 74th Street",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900472113",
            "country_code": "US",
            "telephone_number": "323-533-2396",
            "fax_number": "323-571-9769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY HANDS ADULT RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS-TATE",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "EVETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-533-2396",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "CA",
            "license": "198601610",
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "CA",
            "license": "198602224",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "198601610",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "198602224",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "198601610",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "198602224",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "198601610",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "198602224",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "CA",
            "license": "198601610",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "CA",
            "license": "198602224",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "198601610",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "198602224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY HANDS ADULT CARE FACILITY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY HANDS ADULT CARE FACILITY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY HANDS ADULT CARE FACILITY II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Care Specialists Medical Corporation
• Family Care Specialists Medical Corporation
• Family Care Specialists Medical Corporation
• Family Crisis Center
• Family Dental Care 4 You
• Family Health Care Resources
• Family Health Clinic Inc.
• Family Home Health Care Inc
• Family Planning Associates Medical Group Inc
• Family Planning Associates Medical Group Inc

• Intellectual Disabilities Intermediate Care Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.