Krista Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KRISTA CARE LLC

Practice address

630 W Duarte Rd Ste 206
Arcadia, CA 91007-7604

Phone

(626) 684-2647

Fax

(626) 348-8679

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Sofyan Dowiri

Title

Ceo

Phone

(626) 684-2647

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1639637648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W DUARTE RD STE 206",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077604",
            "telephone_number": "626-684-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W DUARTE RD STE 206",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077604",
            "telephone_number": "626-684-2647",
            "fax_number": "626-348-8679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 White Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933096398",
            "country_code": "US",
            "telephone_number": "626-684-2647",
            "fax_number": "626-348-8679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4629 N Blackstone Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937260103",
            "country_code": "US",
            "telephone_number": "626-684-2647",
            "fax_number": "626-348-8679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2112 E 4th St Ste 218C",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053840",
            "country_code": "US",
            "telephone_number": "626-684-2647",
            "fax_number": "626-348-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISTA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "DOWIRI",
        "authorized_official_first_name": "SOFYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-684-2647",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Arcadia, CA
• Providers in Arcadia, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.