Organization Active NPI

Life Steps Foundation

Doing business as Circle of Friends

  • Alzheimer Center (Dementia Center)
  • Inglewood, CA
National Provider Identifier
1609082700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
LIFE STEPS FOUNDATION
Doing business as
Circle of Friends
Practice address
365 E Beach Ave
Inglewood, CA 90302-3101
Phone
(310) 673-9915
Fax
(310) 673-0131
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Clarence Casey
Title
Program Director
Phone
(310) 673-9915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X CA Primary

Addresses

Primary practice location

365 E Beach Ave
Inglewood, CA 90302-3101

Mailing address

365 E Beach Ave
Inglewood, CA 90302-3101
Phone (310) 673-9915

Other identifiers 1

IdentifierTypeStateIssuer
ADU70099FMedicaidCA

Other names 1

  • Circle of Friends Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Steps Foundation Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

365 E Beach Ave
Inglewood, CA 90302
Phone (310) 673-9915

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609082700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 E BEACH AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023101",
            "telephone_number": "310-673-9915",
            "fax_number": "310-673-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 E BEACH AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023101",
            "telephone_number": "310-673-9915",
            "fax_number": "310-673-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STEPS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "310-673-9915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70099F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circle of Friends",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.