Organization Active NPI

Alexa Wellcare LLC

  • In Home Supportive Care Agency
  • Los Angeles, CA
National Provider Identifier
1568973741
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
8222844269 Issued in CA
Legal business name
ALEXA WELLCARE LLC
Practice address
2029 Century Park E Ste 400
Los Angeles, CA 90067-2905
Phone
(310) 990-7249
NPI assigned
Oct 16, 2017
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Ms. Lucas L Silva
Title
Operation Manager
Phone
(310) 990-7249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 8222844269 CA Primary

Addresses

Primary practice location

2029 Century Park E Ste 400
Los Angeles, CA 90067-2905

Mailing address

2029 Century Park E Ste 400
Los Angeles, CA 90067-2905
Phone (310) 990-7249

Other identifiers 1

IdentifierTypeStateIssuer
8222844269MedicaidCA

Other names 1

  • ALEXA WELLCARE LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1568973741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 CENTURY PARK E STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672905",
            "telephone_number": "310-990-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 CENTURY PARK E STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672905",
            "telephone_number": "310-990-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXA WELLCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "310-990-7249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "8222844269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8222844269",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALEXA WELLCARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 11, 2019; 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.