Los Angeles Wide Community Support Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LOS ANGELES WIDE COMMUNITY SUPPORT SERVICES LLC

Practice address

8611 Crenshaw Blvd Ste 203
Inglewood, CA 90305-2398

Phone

(310) 910-0076

NPI assigned

Sep 2, 2025

Organization subpart

Yes

Parent organization

LOS ANGELES WIDE COMMUNITY SUPPORT SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Ms. Lalisa RuskNPI 1336019926

Title

Owner

Phone

(310) 483-9279

Specialties & licenses 6

Addresses

Other names 1

• L.A. WIDE CSS Doing business as

Part of

Los Angeles Wide Community Support Services LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lalisa G Rusk

  • Counselor
  • Inglewood, CA
  • NPI 1336019926
  NPD Authorized official
• Kevin Antoine Garlington, CHW

  • Community Health Worker
  • Los Angeles, CA
  • NPI 1952274474
  NPD

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1619856788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E 186TH ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462119",
            "telephone_number": "310-483-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 CRENSHAW BLVD STE 203",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052398",
            "telephone_number": "310-910-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES WIDE COMMUNITY SUPPORT SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOS ANGELES WIDE COMMUNITY SUPPORT SERVICES LLC",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "RUSK",
        "authorized_official_first_name": "LALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-483-9279",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L.A. WIDE CSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.