Independent Living Center of Southern California

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INDEPENDENT LIVING CENTER OF SOUTHERN CALIFORNIA

Practice address

14407 Gilmore St
#101
Van Nuys, CA 91401-1400

Phone

(818) 785-6934

Fax

(818) 785-0330

NPI assigned

Oct 18, 2010

Last updated

Oct 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Norma Jean Vescovo

Title

Executive Director

Phone

(818) 785-6934

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1659681112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14407 GILMORE ST",
            "address_2": "#101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011400",
            "telephone_number": "818-785-6934",
            "fax_number": "818-785-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14407 GILMORE ST",
            "address_2": "#101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011400",
            "telephone_number": "818-785-6934",
            "fax_number": "818-785-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING CENTER OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "VESCOVO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-785-6934",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imperial Home Health Care, Inc.
• Impression Home Health
• Impromax Physical Therapy, Corp
• Inbetha Home Healthcare Inc
• Incept Physical Therapy LLC
• Indigo Nest Inc
• Indimed Corporation
• Inf Corp (Star Pharmacy)
• Christopher Infante
• Karina Infante

• Case Management Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.