Individual provider Active NPI

Hortense G Crawford

  • Intellectual Disabilities Intermediate Care Facility
  • Inglewood, CA
National Provider Identifier
1588404792
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
960000779 Issued in CA
Practice address
931 E. la Brea Dr
Inglewood, CA 90301
Phone
(310) 419-0616
Fax
(310) 673-0753
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 960000779 CA Primary

Addresses

Primary practice location

931 E. la Brea Dr
Inglewood, CA 90301

Mailing address

3910 Wellington Rd
Los Angeles, CA 90008-1726
Phone (213) 598-3640

Other practice location 1

931 E La Palma Dr
Inglewood, CA 90301-3780
Phone (310) 419-0616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
960000779CAMDIntellectual Disabilities Intermediate Care Facility

Practice roles

OrganizationSpecialtyStatusNew patients
C & C Quality Care Homes II Current Accepting new patients
C & C Quality Care Home Intermediate Care Facility, Intellectual Disabilities CurrentSince Jun 16, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1588404792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 WELLINGTON RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081726",
            "telephone_number": "213-598-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E. LA BREA DR",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-419-0616",
            "fax_number": "310-673-0753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "931 E La Palma Dr",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903013780",
            "country_code": "US",
            "telephone_number": "310-419-0616",
            "fax_number": "310-673-0753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "HORTENSE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2026-09-06",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960000779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.