Organization Active NPI

Innovative Senior Care Home Health of Los Angeles LLC

Doing business as Brookdale Home Health

  • Home Health Agency
  • Placentia, CA
National Provider Identifier
1538310818
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INNOVATIVE SENIOR CARE HOME HEALTH OF LOS ANGELES LLC
Doing business as
Brookdale Home Health
Practice address
701 W Kimberly Ave Ste 190
Placentia, CA 92870-6332
Phone
(714) 364-6525
NPI assigned
Oct 6, 2008
Last updated
Apr 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Brad Parrish
Title
Cfo, Home Health & Hospice
Phone
(615) 344-6955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

701 W Kimberly Ave Ste 190
Placentia, CA 92870-6332

Mailing address

111 Westwood PL
Brentwood, TN 37027-5021
Phone (615) 221-2250

Other names 1

  • Brookdale Home Health Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

706 E Arrow Hwy
Ste A
Covina, CA 91722
Phone (626) 653-8880

701 W Kimberly Ave
Ste 190
Placentia, CA 92870
Phone (714) 364-6525

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1538310818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTWOOD PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275021",
            "telephone_number": "615-221-2250",
            "fax_number": "615-221-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W KIMBERLY AVE STE 190",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706332",
            "telephone_number": "714-364-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR CARE HOME HEALTH OF LOS ANGELES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CFO, HOME HEALTH & HOSPICE",
        "authorized_official_telephone_number": "615-344-6955"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.