Organization Active NPI

Quality of Life Academy

  • Adult Day Care Clinic/Center
  • South Gate, CA
National Provider Identifier
1659729911
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
198601740 Issued in CA
Legal business name
QUALITY OF LIFE ACADEMY
Practice address
8439 California Ave
South Gate, CA 90280-2413
Phone
(909) 562-6743
NPI assigned
May 27, 2016
Organization subpart
Yes
Parent organization
QOL SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Nnaemeka Ezenagu
Title
Administrator
Phone
(909) 562-6743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 198601740 CA Primary

Addresses

Primary practice location

8439 California Ave
South Gate, CA 90280-2413

Mailing address

8439 California Ave
Southgate, CA 90280-2413
Phone (909) 562-6743

National Provider Directory

National Provider Directory
Part of
Quality of Life Academy

Locations

8439 California Ave
South Gate, CA 90280
Phone (909) 562-6743

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1659729911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 CALIFORNIA AVE",
            "city": "SOUTHGATE",
            "state": "CA",
            "postal_code": "902802413",
            "telephone_number": "909-562-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 CALIFORNIA AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802413",
            "telephone_number": "909-562-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QOL SERVICES INC",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "EZENAGU",
        "authorized_official_first_name": "NNAEMEKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-562-6743"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "198601740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.