Active NPI
Imperium Care Home Aid, LLC
- Home Health Aide
- Los Angeles, CA
National Provider Identifier
1629842133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- IMPERIUM CARE HOME AID, LLC
- Practice address
- 11400 W Olympic Blvd Ste 200
Los Angeles, CA 90064-1584 - Phone
- (213) 376-5001
- NPI assigned
- Nov 14, 2023
- Last updated
- Sep 15, 2026
- Organization subpart
- Yes
- Parent organization
- IMPERIUM CARE ENTERPRISES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anwar Douglas
- Title
- Ceo
- Phone
- (314) 448-9082
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | ||
| Private Vehicle | 347C00000X | NU | ||
| Social Worker | 104100000X | NU | ||
| Chore Provider | 372500000X | NU | ||
| Adult Companion | 372600000X | NU | ||
| Personal Care Attendant | 3747P1801X | NU | ||
| Home Health Aide | 374U00000X | NU | Primary | |
| Homemaker | 376J00000X | NU | ||
| Respite Care | 385H00000X | NU | ||
| Home Modifications Contractor | 171WH0202X | NU | ||
| Driver | 172A00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Meals Provider | 174200000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
11400 W Olympic Blvd Ste 200
Los Angeles, CA 90064-1584
Mailing address
11400 W Olympic Blvd Ste 200
Los Angeles, CA 90064-1584
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1629842133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11400 W OLYMPIC BLVD STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11400 W OLYMPIC BLVD STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641584",
"telephone_number": "213-376-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPERIUM CARE HOME AID, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "IMPERIUM CARE ENTERPRISES, INC",
"enumeration_date": "2023-11-14",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "ANWAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-448-9082",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 15, 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.