Southbay Care Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOUTHBAY CARE HOME, INC.

Practice address

19917 Anza Avenue
Torrance, CA 90503-2005

Phone

(310) 370-9613

Fax

(310) 370-9617

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Shalani Ramos

Title

Administrator

Phone

(818) 621-9090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1609476589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N GLENDALE AVE",
            "address_2": "SUITE B # 326",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063794",
            "telephone_number": "818-621-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19917 ANZA AVENUE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032005",
            "telephone_number": "310-370-9613",
            "fax_number": "310-370-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBAY CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "SHALANI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-621-9090"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Sleep Center LLC
• South Bay Speech Therapy Clinic, PC
• South Bay Sports Medicine Physical Therapy Inc.
• South Bay Surgical Center Group, Inc.
• South Bay Vascular Surgery Inc
• Southbay Critical Care a Medical Partnership (Southbay Critical Care)
• Southbay Endocrine Medical Associates Inc.
• Southern California Bariatric Group, Inc.
• Southern California Caregiving Services, Inc.
• Southern California Center for Anti Aging, Inc. (Southern California Center for Anti Aging)

• Assisted Living Facility in Torrance, CA
• Providers in Torrance, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.